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OBSERVATIONS SUR LA MANIERE DE TAILLER DEANS LES SEXES POUR L'EXTRACTION DE LA PIERRE, pratiquée par Frere Jacques. Nouveau System de la Circulation du sang par le trou ovale dans le foetus humain, avec les réponses aux objections qui ont été faites contre cette hypothese. A Paris, Chez Jean Boudot, Libraire ordinaire de l'Academie Royale des Sciences. Avec Privilege du Roy.

12mo: [28], 187, [1], [iv] pages,  ix, explanatory leaves for six copper-engraved plates (nos 1-7 and containing 8 figures), [2] blank, pp. 90 ie 120, (pagination error after p. 96), [2]; with a couple of small woodcut figures within text, and woodcut head- and tail pieces; 

First edition of this important work by the distinguished French surgeon and comparative anatomist, Jean Méry (1645-1722), dealing principally with his theories 'de la manière dont la circulation du sang se fait dans le foetus humain' (p. 1). Whilst ultimately his views were proved to be erroneous, the work is important in the history of circulation, for the ensuing controversy and long-running debate which it provoked for a number of years within the French medical community and Academy of Sciences. Published in the year that Méry became chief surgeon at the Hôtel-Dieu, the work is divided into two sections, and whilst the title-page suggests that his discussion on lithotomy will dominate the work, it is in fact his observations on blood circulation in the foetus which form the majority of the volume, spanning 187 pages and including seven finely engraved copper plates on six leaves. A

'The outstanding differences between Méry's view and the traditional ones were his beliefs that the so-called valve of the foramen ovale was not a valve at all but the caudal part of the inter-atrial septum, that the venous return from the left lung of the foetus was the only blood which passed through the foramen ovale and that it did so from left to right, and that there was a considerable pulmonary blood flow in utero' (Franklin, Jean Méry and his ideas on fetal blood flow, Annals of Science, 1945, 5, pp. 203-228). His 'physiological views were derived partly from the literature, partly from his own experimental and clinical work, partly from his anatomical findings, and partly from the results of injection of air or of fluids into the vessels of soft anatomical specimens' (ibid). 'Méry erred in assuming that the cross section of an artery is the only factor determining the amount of blood that can flow through it. He compounded this error by his method of measuring the relative cross sections of the arteries. He may have used fresh preparations for his measurements on cows and sheep. For those on human beings, he probably used preserved specimens, dried ones as a rule. The results were inconsistent at best

Méry includes a number of published responses to his theories in the present work, as well as discussing Harvey's view, one that he shared, that blood which passes through the arterial canal goes from the pulmonary artery to the aorta, thus escaping the lung. The debate was to rage for some two decades, with numerous arguments presented on both sides of the controversy.

Medicina - Quantità: 1 - Mappe o tavole pieghevoli, Tavole fuori testo - Libro

Jean Mery - Observations [...] Circulation du Sang - 1700

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