Publisher's Synopsis
Excerpt from Essays in Surgical Anatomy and Surgery
In the winter Of 1876, in some statements made before the New York County Medical Society, upon the subject Of one Of these Essays upon which I was then engaged, I earnestly censured the practice Of tying the common carotid for any lesion Of the external carotid or its branches, when there was one-half an inch between the lesion and the bifurcation of the primitive trunk. My conclu sions met with the approval of two eminent surgeons, themselves Professors Of Surgical Anatomy in the College Of Physicians and Surgeons and the Bellevue Hospital College, and within the last year several younger American surgeons have with creditable skill ligatured the branches of the external carotid, rather than tie the common trunk.l These few instances, with those gathered in these pages, will, I hope, inaugurate a new era in the operative surgery Of the neck, and will furthermore encourage younger men not to accept any procedure, no matter how high the authority which eu dorses it, unless it stands the test of a critical analysis.
In gleaning from the almost boundless field Of professional litera ture the Surgical Histories of the Great Vessels of the Neck, it has been my aim to arrive at the truth, positive and indisputable. I have accepted nothing that was not satisfactorily stated, not wish ing to swell the manuscript with irrelevant matter. TO this end I have omitted several hundred cases of deligation Of these vessels, heretofore published those of the subclavian2 artery when from the description Of the Operation I was satisfied that the axillary was the vessel tied; those of the other vessels when the results were not given, or the operation couched in uncertain terms.
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