<font color=red>특급 Hx of surgery 외과 한덕종 선생님 수업자료입니다.

[[정용]LittleL]

오타를 모두 고쳐서 올렸습니다. 참고하세요.

History of Surgery
외과 한덕종
18th century
19th century advance in pathologic anatomy, experimental physiology
internal medicine
19세기 후반 - surgery as a specialty
1846 - discovery of anesthesia
1870, 1880s - surgical antisepsis, asepsis

Fundamental clinical prerequisites for operation to be considered a truly viable therapeutic procedure
1) knowledge of human anatomy
2) method of controlling hemorrhage and maintaining intraoperative hemostasis 16th C
3) anesthesia to permit the performance of pain-free procedure.
4) antiseptic and aseptic operation.

1) knowledge of human anatomy
Adreas Vesalius(1514-1564) - professor of anatomy and surgery at Pdua, Italy.
- human anatomic dissection
- anatomic article

2) method of controlling hemorrhage
Ambroise Pares(1510-1590) - France
Link between ancient and modern eras.
- boiling oil for cauterizing fresh gunshot wounds
individual vessel ligation during limb amputation

3) Pathophysiologic basis of surgical diseases
John Hunter(1728-1793) - England
Experimental surgery for understanding the pathophysiologic basis of surgical disease
Relied on personal observations
- collection of > 13,000 specimens
Treatise on the blood, inflammation, and gunshot wounds

4) Anesthesia
1830s - chloroform, ether, nitrous oxide
William TG Morton(1819-1868) - Boston dentist
John Collins Warren(1778-1856) - Professor of surgery, MGH
- sulfuric ether as inhalation anesthesia

5) Antisepsis, asepsis, and understanding the nature of infection
Joseph Lister(1827-1912) - English surgeon
Introduction of systemic, scientifically based antisepsis in the treatment of wounds and
performance of operation
Research on fermentation and microorganism
chemical antisepsis
carbolic acid
technique of dressing
sterile absorbable suture-carbolized catgut suture
germ theory

6) X-ray
Wilhelm Roentgen(1845-1923)
diagnosis of fracture, dislocation

20th century
Need for scientific basis for therapeutic surgical recommandation
empirical data collected and analyzed according to accepted rules

William Stewart Halsted(1852-1922)
- professor of surgery at Johns Hopkins Hospital
- Surgery in the modern operating room
- research based on anatomic, pathologic, and physiologic principles
- employing animal experiments
- residency system of training surgeons(first)
- exchange of surgical residents(1914)
- periodicals

World WarⅠ
great surgical achievement
treatment of wound infection- antisepsis
debridment and irrigation
reconstructive facial surgery
treatment of fracture
Herry Dakin
Alexis Carrel(1873-1944)-French-American surgeon
American College of Surgeons
American board of ophthalmic exam(1916), orthopedic(1934), colon-rectal(1934), urology(1935)
plastic(1937), surgery(1937), and neurology(1940)
progress in surgical instrument and surgical techniques

World WarⅡ
sudden expansion of the profession and surgeons
Cardiac surgery
heart represented as the seat of the soul and wellspring of life itself -untouchable
Luther Hill(1862-1946)
suture of cardiac wound
Dwight Haken(1910-1993)
removal of bullets, shapnel in the heart or great vessel
Chales Bailey(1910-1993)
Russel Brock(1903-1980)
intracardiac surgery-mitral stenosis
John Gibbon(1903-1973)
heart-lung machine(1953)

Transplantation
Alexis carrel, Guthrie(1902)
new vascular suture technique
transplantation of kidney, heart, and spleen
Medawar(1942)
rejection, second set rejection, tolerance
D. Hume(1953)
Terasaki(1965)
Starzl(1967)
Lillihei(1966)
Bernard(1967)
Belzer(1967)
Sutherland(1978)
Reitz(1981)-heart-lung transplantation

Future trends
much progress of new instrumentation
laparoscopic surgery
robotic surgery
progress of imaging technique

Surgical highlights
Allen oldfather whipple(1881-1963)
pancreaticoduodenectomy for pancreas cancer(1935)
Lester Dragstedt(1893-1976)
vagotomy for peptic ulcer
Frank Lahey(1880-1953)
recurrent larnyngeal nerve in thyroid surgery
Owen Wangensteen(1898-1981)
bowel decompression by suction(1982)
George Vaughan(1859-1948)
ligation of abdominalaorta for aneurysm
Walter Dandy(1886-1946)
intracrenial section of various cranial nerves(1920)
Walter Freeman(1895-1972)
prefrontal lobotomy for various mental illness(1936)
Harvey Cushing(1869-1939)
electrocoagulation in neurosurgery(1928)
Marius Smith-Peterson(1886-1953)
flanged nail for pinning a fracture of neck of femur(1931)
Vliray Blair & James B개wn(1899-1971)
split-skin graft to cover large defected wounds
Earl Padgett(1893-1946)
operative dermatone
Elliott Cutler(1888-1947)
section of mitral valve for relief of mitral stenosis
Evarts Graham
removal of lung for cancer(1933)
Robert Gross(1905-1988)
ligation of PDA, and resection-anastomosis of aortic coarctation
William Mayo(1861-1939)
partial gastrectomy
radical operation for rectal carcinoma
John Finney(1863-1942)
Johns Hopkins Hospital
gastroduodenostomy(1903)
William Handley(1872-1962)
breast cancer metastasis along lymphatic vessels
Willian Miles(1869-1947)
abdominoperineal resection(1908)
Friedrich Trendelenburg(1844-1942)
wire skelectal traction for long bone fracture
Whilhelm Ramstedt(1867-1963)
pyloromyotomy
Henry Janeway(1873-1921)
tubed gastrostomy
Franz von Hofmeister(1869-1926)
partial gastrectomy
Barney Brooks(1884-1952)
femoral arteriography(1924)
Cecil Joll(1885-1945)
subtotal thyroidectomy in thyrotoxicosis
Arnold Henry(1886-1962)
femoral hernia repair
Rene Leriche(1879-1955)
arteriectomy in arterial thrombosis
periarterial sympathectomy
syndrome of aortoiliac occlusive arterial disease-both leg claudication, impotance, femoral pulse(-)
Clarence Crafoord(1899-1984)
operation of aortic coarctation
Chester hc Vay(1911-1987)
hernia repair on the pectineal ligament(1948)
Charles Dubost(1914-1991)
resection of abdominal aortic aneurysm and insertion of a homologous graft

[이젠그만늙고푼뫼뇽이^^]

덤농~ㅎㅎ~차칸 덤농~ㅋㄷㅋㄷ~근뎅 한덕종 선생님 너무 머쪄 목소리두 넘 머찌공, 하이얀 머리칼도 넘 머쪄 ㅋㄷㅋㄷ~김정재 선생님도 너무 머쪄~청바지 이브신 모습은 완전 20대 초반이야 우이우이~굴애동 최고는 욕쒸 태선옵빠!태선님 짱!짱!짱!알로뷰ㅠㅠ