Summary
If surgical excision in the line of gangrenous demarcation hastened natural separation of mortified limbs and reduced suffering, it left a discharging wound which, at best,might heal only after several months to leave a fragile scar, prone to breakdown, and a stump often incapable of bearing an artificial limb. Later, more-aggressive removal of bone promoted closer apposition of skin margins which improved cicatrisation, yet these stumps remained fragile and often unsatisfactory for prosthetic fitting. In response to gunshot injuries, amputation through sound tissues, although more painful, was to produced healthier if slow healing. Eventually, flap amputations proved a key to better functional stumps, assuming the bone was not infected and discharged chronically, always a possibility before the chemical and thermal sterilisation techniques of the later 19th century.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Spink MS, Lewis GL. Albucasis on Surgery and Instruments. London: Wellcome, 1973:576.
Adams F. The Genuine Works of Hippocrates, vol 2. London: Sydenham Society, 1849:639.
Joubert L. La Grande Chirurgie de M. Guy de Chauliac. Lyon: Olier, 1659:465 (author’s translation).
Tyrrell F. The Lectures of Sir Astley Cooper... on the Principles and Practice of Surgery, vol 1.London: Underwood, 1824:236–237.
Spencer WG. Celsus: De Medicina, vol 3. London: Heinemann, 1938:469.
Spencer WG. Celsus: De Medicina, vol 2. London: Heinemann, 1938:81.
Lister J. Amputation. In: Holmes T, Hulke JW. A System of Surgery, 3rd Ed, vol 3.London: Longmans, 1883:697–698.
Wangensteen OH, Wangensteen SD. Some highlights in the history of amputation reflecting lessons in wound healing. Bull Hist Med 1967;41: 97–131.
Spencer WG. Celsus: De Medicina, vol 3. London: Heinemann, 1938:549.
Duhamel G. Vie des Martyrs 1914-1916. Paris: Mercure, 1917:182 (author’s translation).
Adams F. The Seven Books of Paulus Aegineta, vol 2. London: Sydenham Society, 1846:411.
Adams F. The Seven Books of Paulus Aegineta, vol 2. London: Sydenham Society, 1846:409.
Adams F. The Seven Books of Paulus Aegineta, vol 2. London: Sydenham Society, 1846:412.
Spink MS, Lewis GL. Albucasis on Surgery and Instruments. London: Wellcome Institute, 1973:576.
Sushruta Samhita. Translated and edited by K.K.L. Bishagratna, Calcutta: Wilkins Press, 1907:189.
Payne JF. The Fitzpatrick Lectures for 1903: English Medicine in the Anglo-Saxon Times. Oxford: Clarendon Press, 1904:90.
Campbell E, Colton J. The Surgery of Theodoric, vol 2 (c.A.D. 1267).New York: Appleton-Century-Crofts, 1955:37.
Campbell E, Colton J. The Surgery of Theodoric, vol 2 (c.A.D. 1267).New York: Appleton-Century-Crofts, 1955:212–213.
Garrison FH. An Introduction to the History of Medicine, 4th Ed. Philadelphia: Saunders, 1929:153.
Garrison FH. An Introduction to the History of Medicine, 4th Ed. Philadelphia: Saunders, 1929:168.
Zimmerman LM, Veith I. Great Ideas in the History of Surgery, 2nd Ed. New York: Dover, 1967:204. (Heinrich von Pfolspeundt’s text in manuscript remained obscure until edited and translated into modern German by H. von H. Herausgegeben and A. Middledorpf in 1868.)
Garrison FH. An Introduction to the History of Medicine, 4th Ed. Philadelphia: Saunders, 1929. (See p. 202 for the contributions of Brunschwig H. Dies ist das Buch der Cirurgia. Hantwirkung der Wundartzny. Strassburg: Gruniger, 1497.)
Von Gersdorff H. Feldtbuch der Wundtartzney. Strassburg: Schott, 1517:70.
Vigon J (da Vigo G). The Most Excellent Worckes of Chirurgery, made and set forth by maister John Vigon, translated into Englishe. London: Whytchurch, 1550: folio xxvi-xxviii. See also Cooper S. A Dictionary of Practical Surgery. London: Longman, 1822:60.
Franco P, Petit Traite. Contenant une des Parties Principalles de Chirurgie. Lyon: Vincent, 1556:80–83.
Botallo L. De CurandisVvulneribus Sclopettorum. Lyon: Rouillius, 1560:612–614.
Gale T. Certaine Workes of Chirurgerie. London: East, 1586: leaves 65–76.
Wurtz F. An Experimental Treatise of Surgerie in Four Parts. London: Dawson, 1656:173–174. (Translated from Practica der Wundartzney. Basle, 1563.)
Paré A. La Méthode de Traicter les Playes Faictes par Hacquebutes et aultres bastons à feu. Paris: Gaulterot, 1545; Paré A. The Works. London: Clark, 1678:304.
Paré A. The Works. London: Clark, 1678:303.
Clowes W. A Profitable and Necessarie Booke of Observations, for all those that are burned with the flame of Gun-powder, etc. London: Bollifant, 1596: 95.
Lowe P. Whole Course of Chirurgerie. London: Purfoot, 1599.
Fabri de Hilden G. Observations Chirurgiques. Geneve, Chouet, 1669:500.
Wiseman R. Severall Chirurgicall Treatises. London: Royston & Took, 1676:451
Fabri de Hilden G. Observations Chirurgiques. Geneve, Chouet, 1669:497.
Fabri de Hilden G. Observations Chirurgiques. Geneve, Chouet, 1669:500 (author’s translation).
Woodall J. The Surgeons Mate. London: Bourne, 1639:388.
Woodall J. The Surgeons Mate. London: Bourne, 1639:398.
Woodall J. The Surgeons Mate. London: Lisle, 1617:171–172.
Woodall J. The Surgeons Mate. London: Lisle, 1617:174–176.
Scultetus J. The Chyrurgeons Store-House. London: Starkey, 1674:373.
Wiseman R. Severall Chirurgicall Treatises. London: Royston & Took, 1676:420.
Wiseman R. Severall Chirurgicall Treatises. London: Royston & Took, 1676:420, 426.
Wiseman R. Severall Chirurgicall Treatises. London: Royston & Took, 1676:453.
Needham W. On the royal stiptic water. Philos Trans 1673;8:6052.
Yonge J. Currus Triumphalis, e Terebintho. London: Martyn, 1679.
Yonge J. Currus Triumphalis, e terebintho. London: Martyn, 1679:110. Mr. Caleb Lowdham, “chyrurgeon” of Chudleigh, Devon was visited by Yonge on 12th February, 1678 according to Yonge’s manuscript journal (see Poynter FNL. Journal of James Yonge. London: Longmans, 1963:152). It seems likely this is the C. Lowdham of Exeter,Devon mentioned in Currus Triumphalis. Wangensteen and Wangensteen stated that a personal communication from G.E. Larks reveals an unpublished manuscript by Yonge, “An account of many secrets in art and nature, ” which mentioned flap amputation 7 years before 1679, and credited the innovation to “Smith, a surgeon at Exeter.’ See Wangensteen OH, Wangensteen SD. The Rise of Surgery. Folkestone: Dawson, 1978:591, ref. 61. Perhaps Yonge”s memory was faulty?
Yonge J. Currus Triumphalis, e Terebintho. London: Martyn, 1679:108–120.
Verduin PA. Nouvelle Méthode pour Amputer les Membres (translated by J. Vergniol). Amsterdam: Wolters, 1697.
Verduin PA. Nouvelle Méthode pour Amputer les Membres (translated by J. Vergniol). Amsterdam: Wolters, 1697: preface A3.
Wangensteen OH, Wangensteen SD. The Rise of Surgery. Folkestone: Dawson, 1978:591, ref. 60, which quotes K.G. Lennander on “Beobachtungen uber die Sensibilitat in der Bauchhole. ” Mitt Grenzgeb Med Chir 1902;10:38-104, demonstrating the relative order of tissue sensibility measured when operating under light and local anaesthesia.
Ryder H. New Practical Observations in Surgery. London: Partridge, 1685:55.
Spence J. Lectures in Surgery. Edinburgh: Black, 1875: vol 1, pl. 111.
Croce JA.Chirurgiae Libri Septem.Venice: Zilletum, 1573.
Paré A. The Works. London: Clark, 1678.
Guillemeau J. La Chirurgie Francoise. Paris: Gilles, 1594.
Rights and permissions
Copyright information
© 2007 Springer-Verlag London Limited
About this chapter
Cite this chapter
(2007). Elective Amputation: Early Evolution to the End of the 17th Century. In: A History of Limb Amputation. Springer, London. https://doi.org/10.1007/978-1-84628-509-7_6
Download citation
DOI: https://doi.org/10.1007/978-1-84628-509-7_6
Publisher Name: Springer, London
Print ISBN: 978-1-84628-443-4
Online ISBN: 978-1-84628-509-7
eBook Packages: MedicineMedicine (R0)