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A History of Vascular Surgery - part 2

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Bác sĩ phẫu thuật mạch máu của thời cổ 13 Galen đã viết rằng nó là cần thiết để buộc các mạch về phía gốc của họ, đó là gan và tim, một dòng trung thành tuyệt vời của máu. Có được sử dụng phương pháp này đóng các tĩnh mạch | Vascular surgeons of antiquity 11 Figure 1.8 A physician cauterizes a patient from a 15th-century Turkish manuscript from Castiglioni A. A History of Medicine. New York Alfred A. Knopf 1947 . Figure 1.9 Paré demonstrates the ligature during an amputation courtesy of the Bettman Archive . 12 Chapter 1 Figure 1.10 Pare s surgical instruments. Bec de corbin is labeled with letters T R and S and is indicated by an asterisk from Castiglioni A. A History of Medicine. New York Alfred A. Knopf 1947 . Vascular surgeons of antiquity 13 Galen wrote that it is necessary to tie the vessels toward their root which are the liver and the heart to staunch a great influx of blood. Having used this method of closing the veins and arteries in recent wounds several times in a case of hemorrhage I thought that it could be done also in the removal of a limb. I conferred about this with Estienne de la Riviere King s Surgeon-in-Ordinary and other Sworn Surgeons of Paris and on having disclosed my opinion to them we decided to try it on the first patient who offered himself keeping the cautery ready for use as did everyone else in place of a ligature. This I have practiced thus many times with very good results even a few days ago in the care of Pirou Garbier a Postillion of M. Brusquet whose right leg was removed four fingers below the knee for a mortification which had developed because of a fracture. Paré argued vigorously for many years with his contemporaries to replace the cautery with ligation for the treatment of bleeding wounds. Paré s humility and faith in nature are epitomized by his famous remark I dressed him and God cured him made after his initial use of the ligature to achieve hemostasis. Paré also observed that his patient . got off cheaply without being miserably burned to stop the bleeding. Paré introduced the first arterial forceps his bec de corbin Figure 1.10 . It was originally used to extract bullets and Paré subsequently modified it to grasp arteries to be ligated.