History of Science, a — Volume 4 by Henry Smith Williams;Edward Huntington Williams
page 79 of 296 (26%)
page 79 of 296 (26%)
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one large artery, whose main trunk distributes the blood into its
lesser branches, and thence through the capillaries. Cutting off this main artery, it would seem, should cut off entirely the blood-supply to the particular organ which is supplied by this vessel; and until the time of Hunter's demonstration this belief was held by most physiologists. But nature has made a provision for this possible stoppage of blood-supply from a single source, and has so arranged that some of the small arterial branches coming from the main supply-trunk are connected with other arterial branches coming from some other supply-trunk. Under normal conditions the main arterial trunks supply their respective organs, the little connecting arterioles playing an insignificant part. But let the main supply-trunk be cut off or stopped for whatever reason, and a remarkable thing takes place. The little connecting branches begin at once to enlarge and draw blood from the neighboring uninjured supply-trunk, This enlargement continues until at last a new route for the circulation has been established, the organ no longer depending on the now defunct original arterial trunk, but getting on as well as before by this "collateral" circulation that has been established. The thorough understanding of this collateral circulation is one of the most important steps in surgery, for until it was discovered amputations were thought necessary in such cases as those involving the artery supplying a leg or arm, since it was supposed that, the artery being stopped, death of the limb and the subsequent necessity for amputation were sure to follow. Hunter solved this problem by a single operation upon a deer, and his practicality as a surgeon led him soon after to apply this |
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