The anatomy and diseases of the breast / By Sir Astley Cooper, bart ... To which are added, his various surgical papers, now first published in a collected form.

  • Astley Cooper
Date:
1845
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Licence: Public Domain Mark

Credit: The anatomy and diseases of the breast / By Sir Astley Cooper, bart ... To which are added, his various surgical papers, now first published in a collected form. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

    516/540 (page 170)
    [Guy's Hospital Reports, Vol. I.] Some Expeinments and Observations on Tying the Carotid and Vertebral Arteries, and the Pneumo-gastric, Phrenic, and Sympathetic Nerves. The anastomosis of arteries in all parts of the animal frame, and the circuitous channels through which the blood, when arrested in its progress along a principal trunk, is conveyed to its destination, have been for some time well ascertained ; and the advantaores arising^ from this arranofement of vessels in the natural condition of the body, as well as the safety afforded by it under certain accidents, diseases, and operations, are perfectly understood. The existence of these anastomosing vessels has been proved, by the examination of diseases in v/hich blood-vessels have been obliterated, by experiments performed upon the arteries of living animals, and by the result of surgical operations upon the human subject, and the dissections after death; and the injected pre- parations contained in our anatomical museums exhibit, for the principal arteries of the body, the place at which the main trunk has been rendered impervious, and the mode in which the circu- lation has been preserved. In the chest, the aorta has been obliterated by disease, and the intercostal arteries have supplied its place in carrying on the blood. In the abdomen, the aorta has been entirely ob- structed by an aneurism situated above the bifurcation ; the two iliacs below beinor reduced to mere cords. The common iliac has been successfully tied by Mr. Guthrie; and the internal iliac by Mr. Stevens. The external iliac, and the arteries below it, have been now so frequently tied, and the anasto- mosing vessels so clearly demonstrated, that no doubt is enter- tained of an adequate supply of blood being sent to the lower limbs after these operations. The subclavian arteries have but few anastomoses; but they are still sufficient to nourish the upper extremity; and the arte- ries of the arm below may be tied without danger of an insuffi- cient supply by subsidiary currents. The carotid arteries have been found, by Baillie, obliterated