Fort Worth gazette. [volume] (Fort Worth, Tex.) 1891-1898, 1895-04-14
HIS JuGuLAR VEINS CUT OUT.
AND YET THE PATIENTS LIVE
AND ARE HAPPY.
BY sKlLLFUL SURGERY THEY
HAVE BEEN Rt:MovED-How
THIS MARVELLOUS PIECE OF SUR
gerry Is PERroRMED-IT is EX-
CGEpINGLY DIFFICULT.

~ GDlANbbl btf tlGOLI.
Provided that you can employ skill
ful surgeon. you may have six inches
Of your jugular veil removed and live
for years Afterwards without feeling
the loss at all
\ few persons have been thus dis
/ ungulshed and their lives have been
saved as a consequence. The operation
Is exceedingly difficult ana delicate. 10
the lay mind It seems impossible. but
we are fast learning that the modern
| great surgeon does not include this
l word In his vocabulary.
Tho jusular vein has had more glory
] imam any other blood vessel The most
l Ignorant person knows rs location and
| that TO cut Il means certain death. I'm
| hit him on the jugular," Is a common
! expression among pr2e-fghters and
/ toNshs. When man gets hit on the
! lusulAr he usually goes down and be-
comes spcechless for u minute or two.
| but the jugulAr Il no more responsible
/ Tor that than the big toe. There IL q
I little shining cord. a nerve, lust back
| or the jugulnr, which controls speech
and respiration. When forccful blow
] Is struck In the region OF the iugullr
! this nerve is paralyzed. rud what Ia
technically known as a Knockout re-
suits
The iugulnr is nearly an inch In di-
amotor ana II viii be readily under
stood how easily one can bleed to death
II IL " suddenly opened. 1t lien directly
underneath the great muscle ON the side
/ OF the neck which shows up 40 prnmi-
nenlly In an athlete when he turns his
mead, Except in a very feshy person.
n cut or half an inch In depth VIII
readily reach It.
The removal Of piece or the jugulnr
ia iusthablo in case OF a large abccss.
tumor or growth Of any kind ON tho
neck or OF Inflammation Of the walls of
the vein and the tissue about Il. The
latter Is very rare. Uuikc tho re-
movol VI the vermiform appondlN. the
removal Of the iugulur viii never be
COM" Tad seldom indeed tx thcrc
any need OF II,
There are a great number OF nerves.
In the region uf the iugulur. 10 cut
one OF them IS serious. For Instance.
the nerve already mentioned. which
Hes next TO the VEIN cputrola the ftmc-
tons OF sptech and respiration. These
ncrycs iptcrsect each other like tivcrs
highways and railroads ON a very small
map To cut out piece OF the iugular
Is somewhat like putting your pencil
down ON this map when you are blind
folded without touching river, a hlgh- /
way or a railroad But the surgeon
knows the exact location OF cach little /
shining nerve, each little vein, from
long study, and his scolpel is sharp and
his touch is sure
The flesh ana tissue are cut away
and the vein is lifted up clear Of both. !
looking like fun hose when the water
Is turned on, while all the time the /.
great muscle Is held apart by fOrkcd I
steel hooks something Ike sugar tongs, /.
pair Of clamps, shaped like blunt .
scissors, with rough surfaces. Is fas- /
tened Just above the point whore the .
upper cut Is to be male. Suddenly the |
tube collapses Just as the hose does
whom the water a. turned OF for the
output OF blood from the brain hng
been shut on A second pair OF clnmpg
is fastened just below whore the cut la .
to be made Next two strips of cutpui Z
or Of fine SILK are tied tightly around .
Just above the upper pair OF CLAIMS
and Just below the lower pair and an
that is Loft To do Is TO cut ont the inter-
venng piece, The whole operation H.
performed by the skillful hands Of two
or three surgeons more quickly than It
In three months time the catgltt or
SILK Will have been assimllatod into the
system, n blood clot will have formed
at the Inlet Of tho vein at the bnse or
The head, and whnt was once tho walls
OF the vein viii have become a useless
tube which viii also be gradually as
place.
But how does the Impure blood from
the brain now md It's way back 10 be
pnriicd2 IL the question That Is nat
urally asked. Just here Is whore nature
asserts her versatility, adaptabllity ana
She makes the iugulur
on the other side " the neck and the
smaller veins do the work.
and they do 1t 80 satisfactorily that the
patient never knows the difference.
The lrst operation for the removal OF
the iugullr was performed in india by
an English surgeon. Dr. Smith. on an
East Indian, who had such bad tumor
on MS neck that death was certain. To
cut down ana take out a piece OF the
famous old vein was simply n rash ok
pertinent In which Dr. Smith himself
had very little confidence As soon aH
the news OF It's success WAS distributed
through the medical world the vein i'm
lost some of It's great pres
tlge. and tumOr Of the neck much OF
liz horror You may be sure that DR.
smith did not tell the Indian what he
was about to do. or the poor fellow
would have probably died OF fright
on the spot, for the ignorant natives
Of India regard the jugular rs the'seat
But the prestige Of the iugular has
received even Il greater blow. a few
weeks ago, in n case OF Inflammation OF
both sides OF the neck and the resulting
disease OF the walls OF both 1uguiara
md the tissue around them. OF a patient
In British hospital. another rash OK
pertinent was attcmpted-the removal
of beth Iugulars II succeeded The
patient is upon his feet again as lively
a. he ever was and to be slashcd IN the
iuRulnr has now no terrors for him.
IN his Instance Il IL shown Of course ,
hat the smaller veins will go enlarge
Ihcir capacity that they can do the
work Of both iugulars--somethlng that
has even made the wizards Of surgery
rub their eyes and wonder.
In the days Of bleeding Il was the Jug
ulnr which the physician usually bled.
II the bleeding was to be
profuse as a small puncture would
bring great quantities OF blood, and the
wound quickly healed George Wash
ngton was blcd from the angular. and .
II he had not been modern physicians
say he would have got well. and with
his strong constitution might have lived
twenty years longer.-New York World
ANANIAS
1utdone by IA Texas Tiar-How lie