Abstract
At about the time of the Boston Tea Party, King George III of England was troubled by a sebaceous cyst of the scalp. He summoned the renowned surgeon Sir Astley Cooper to attend to him and remove the wen. Sir Astley did so successfully, but with reluctance. “Wounds of the scalp,” he is quoted to have said, “are not so trifling as they first might appear. Inflammation very often follows, erisipelas etc, and many die in consequence of the injury done to the scalp ... I was called upon to remove a tumor from the scalp of a lady; it was unfortunately attached to the tendon of the occipito-frontalis muscle and I necessarily had to remove a part of this tendon. The operation was done on a Wednesday, she seemed quite well after its removal, but on Sunday she was seized with rigor, succeeded by heat—she became feverish and on the Tuesday she died. Therefore, you will, I trust, be upon your guard and never make an unnecessary cut on any part of the scalp for such a practice is dangerous and you will not know what may follow such a wound.”1
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Dagi, T.F., Ojemann, R.G., Zervas, N.T. (1984). Incidence and Prevention of Infection after Neurosurgical Operations. In: Thompson, R.A., Green, J.R. (eds) Infectious Diseases of the Central Nervous System. Neurologic Illness. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6332-3_10
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DOI: https://doi.org/10.1007/978-94-011-6332-3_10
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