history of surgery

手术史
  • 文章类型: Historical Article
    In 2023, it was 130 years since the opening of the Alexander Surgical Hospital at the Tauride Provincial Zemstvo Hospital, where many talented doctors worked. This authors present new facts about outstanding surgeon who worked in Simferopol at the turn of the 19th and 20th centuries, Alexander Fedorovich Kablukov (1857-1915). He was a founder of surgical school in the Tauride province, who first described cholecystectomy In Russian-language literature. The report covers in detail famous surgery restored thanks to pre-revolutionary sources. Excerpts from other little-known reports of surgeon related to the treatment of gallbladder and biliary diseases are also presented.
    В 2023 г. исполнилось 130 лет со дня открытия Александровской хирургической образцовой лечебницы при Таврической губернской земской больнице, в которой трудились многие талантливые врачи. Данная статья раскрывает новые факты о деятельности одного из них — выдающегося хирурга, работавшего в Симферополе на рубеже XIX—XX веков, Александра Федоровича Каблукова (1857—1915), ученика Н.В. Склифосовского и Н.Н. Бетлинга, основателя хирургической школы в Таврической губернии, которому принадлежит первое печатное описание операции холецистэктомии в русскоязычной хирургической литературе. В работе подробно освещается ход знаменитой операции Каблукова, восстановленный благодаря дореволюционным источникам. Представлены и отрывки из других, доселе малоизвестных, докладов хирурга, связанных с лечением заболеваний желчного пузыря и желчевыводящих путей.
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  • 文章类型: Editorial
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  • 文章类型: Biography
    The authors discuss the contribution of the outstanding Simferopol surgeon Alexander Fedorovich Kablukov to development of surgery in the Taurida gubernia at the end of the 19th - beginning of the 20th century. To date, there is no detailed information about his biography in the literature. The only fact associated with this surgeon is his famous surgery, i.e. the first cholecystectomy described in detail in national literature. Considering pre-revolutionary sources and archival documents, we established that A.F. Kablukov contributed to the new quality level of surgical treatment in the Taurida gubernatorial hospital (the largest hospital in this gubernia).
    Статья освещает вклад выдающегося симферопольского хирурга Александра Федоровича Каблукова в развитие хирургии Таврической губернии в конце XIX — начале XX веков. На сегодняшний день в научной медицинской и краеведческой литературе отсутствуют подробные сведения о его биографии. Единственный упоминаемый факт о нем связан с его знаменитой операцией — первой подробно описанной в русской хирургической литературе холецистэктомией. На основании дореволюционных источников и архивных документов удалось установить, что именно благодаря А.Ф. Каблукову хирургическое лечение в Таврической губернской земской больнице (крупнейшем лечебном учреждении губернии) перешло на новый качественный уровень.
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  • 文章类型: Editorial
    坦普尔贝勒·斯科特和怀特纪念医院的神经外科,几十年前,德克萨斯州开始是外科部门的一个部门。该医院长期以来一直是贝勒·斯科特和怀特医疗保健系统的旗舰三级转诊中心,2013年与贝勒大学医学中心合并,达拉斯的医院系统.它现在是德克萨斯州最大的非营利性医院系统,也是美国新闻和世界报道授予最多的医院系统。神经外科于2006-2007学年在贝勒·斯科特和怀特纪念医院成立。从那时到2014年,四位神经外科医生担任系主任或临时主席:罗伯特·布坎南博士,GerhardFriehs博士,IbrahimElNihum博士,和小大卫·加勒特博士.2014年,JasonHuang博士在全国范围内被任命为董事长,并于2015年建立了神经外科住院医师计划。该系在黄博士的带领下经历了巨大的成长,居住计划是该部门的优先事项。卓越的手术主要在三个校区得到磨练:贝勒·斯科特和怀特纪念医院,BaylorScott&WhiteMcLane儿童医疗中心,和贝勒斯科特和怀特医疗中心-希尔克雷斯特。在这篇社论中,我们提供了该机构的简要历史,最近在坦普尔的贝勒·斯科特和怀特纪念医院神经外科手术的历史,德州,并简要描述了该计划在JasonHuang博士的继续领导下的未来方向。
    Neurosurgery at Baylor Scott & White Memorial Hospital in Temple, Texas began as a division in the Department of Surgery many decades ago. The hospital has long served as the flagship tertiary referral center for the Baylor Scott & White healthcare system, which merged in 2013 with Baylor University Medical Center, a hospital system based in Dallas. It is now the largest non-profit hospital system as well as the most awarded hospital system by the US News and World Report within the state of Texas. The Department of Neurosurgery was established at Baylor Scott & White Memorial Hospital in the 2006-2007 academic year. Between then and 2014, four neurosurgeons served as department chair or interim chair: Dr. Robert Buchanan, Dr. Gerhard Friehs, Dr. Ibrahim El Nihum, and Dr. David Garrett Jr. In 2014, Dr. Jason Huang was appointed chairman after a national search and established the neurosurgery residency program in 2015. The department has undergone tremendous growth under the leadership of Dr. Huang, and the residency program is a priority of the department. Surgical excellence is honed at primarily three campuses: Baylor Scott & White Memorial Hospital, Baylor Scott & White McLane Children\'s Medical Center, and Baylor Scott & White Medical Center - Hillcrest. In this editorial, we provide a brief history of the institution, a recent history of the neurosurgical presence at Baylor Scott & White Memorial Hospital in Temple, Texas, and briefly describe the program\'s future directions under the continued leadership of Dr. Jason Huang.
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  • 文章类型: Journal Article
    JosephLister(1827-1912)在四肢开放性骨折中使用碳酸来预防伤口感染(1865)为外科手术提供了基本的科学原理。他的11名患者包括4名儿童,7至13岁。孩子们,今天已知与成年人相比,在给定的伤害中更好地存活,可能使他的结果偏向于生存,并使他得出这样的结论:他的换药方法可以预防致命性伤口败血症。他在防腐方面的成功可能与其说是他将细菌理论应用于手术的证明,不如说是他年轻患者的生理韧性。
    Joseph Lister\'s (1827-1912) use of carbolic acid to prevent wound infection in open fractures of the extremities (1865) provided a basic science rationale for the practice of surgery. His series of 11 patients included 4 children, aged 7 to 13. Children, today known to better survive a given injury when compared with adults, may have biased his results in favor of survival, and led him to conclude that his method of carbolic-soaked dressing changes prevented fatal wound sepsis. His success with antisepsis may have been less a testament to his application of germ theory to surgery than to the physiological resilience of his young patients.
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  • 文章类型: Journal Article
    背景:本研究旨在探讨肝中静脉(MHV)引导下腹腔镜解剖左半肝切除术治疗有上腹部手术史的肝胆管结石患者的安全性和有效性。
    方法:回顾性分析2018年1月至2022年4月在南昌大学第二附属医院行腹腔镜左肝切除术治疗肝胆管结石并上腹部手术的患者资料。根据手术方式的不同,患者分为由MHV组引导的腹腔镜解剖左肝切除术(MHV-AH组)和由MHV组引导的腹腔镜传统解剖左肝切除术(非MHV-AH组).
    结果:本研究包括81名患者,MHV-AH和非MHV-AH组中有37例和44例患者,分别。两组的基本资料无明显差别。5例中转开腹,其余均在腹腔镜下顺利完成。与非MHV-AH组相比,MHV-AH组手术时间稍长(319.30minvs273.93min,P=0.032),较低的胆漏率(5.4%vs20.5%,P=0.047),结石残留率(2.7%对20.5%,P=0.015),结石复发率(5.4%vs22.7%,P=0.028),和胆管炎复发率(2.7%vs22.7%,P=0.008)。其他观察指标结果组间差异无统计学意义。
    结论:MHV引导下腹腔镜解剖左肝切除治疗有上腹部手术史的左肝胆管结石安全有效。它不会增加术中出血,并降低术后胆漏的风险,残留的石头,结石复发,和胆管炎复发。
    This study aimed to investigate the safety and efficacy of laparoscopic anatomical left hemihepatectomy guided by the middle hepatic vein (MHV) for the treatment of patients with hepatolithiasis who had a history of upper abdominal surgery.
    Retrospective data analysis was performed on patients who underwent laparoscopic left hepatectomy for hepatolithiasis and with previous upper abdominal surgery at the Second Affiliated Hospital of Nanchang University from January 2018 to April 2022. According to the different surgical approaches, patients were divided into laparoscopic anatomical left hepatectomy guided by the MHV group (MHV-AH group) and laparoscopic traditional anatomical left hepatectomy not guided by the MHV group (non-MHV-AH group).
    This study included 81 patients, with 37 and 44 patients in the MHV-AH and non-MHV-AH groups, respectively. There was no significant difference in the basic information between the two groups. Five cases were converted to laparotomy, and the remaining were successfully completed under laparoscopy. Compared to the non-MHV-AH group, the MHV-AH group had a slightly longer operation time (319.30 min vs 273.93 min, P = 0.032), lower bile leakage rate (5.4% vs 20.5%, P = 0.047), stone residual rate (2.7% vs 20.5%, P = 0.015), stone recurrence rate (5.4% vs 22.7%, P = 0.028), and cholangitis recurrence rate (2.7% vs 22.7%, P = 0.008).There were no significant differences in the results of other observation indices between the groups.
    Laparoscopic anatomical left hepatectomy guided by the MHV is safe and effective in the treatment of left hepatolithiasis with a history of upper abdominal surgery. It does not increase intraoperative bleeding and reduces the risk of postoperative bile leakage, residual stones, stone recurrence, and cholangitis recurrence.
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  • 文章类型: Journal Article
    到2017年,先天性心脏外科医师协会(CHSS)的研究部门的历史包含在两个先前的出版物中,这些出版物涵盖了CHSS的一般历史。本文是第一个明确关注研究企业,重点是2018年至2023年。在此期间,继续建立具有终身随访的多个队列以及将企业转变为首屈一指的研究组织的挑战变得显而易见。尽管继续致力于产生有影响力的研究成果并教育Kirklin/Ashburn研究员,研究小组投入了大量的精力来定义队列相关性的问题,工作流,数据管理,长期患者随访,CHSS会员参与,和监管负担。该团队写了一份提案,概述了解决挑战的方法。从单一机构“数据中心”到两个机构的研究与质量中心(CRQ)的重大变化,确保增加教职员工和资源。拟议的结构和流程变更于2022年年中开始执行。创建了第二个Kirklin/Ashburn奖学金职位。在2018年至2022年期间,CRQ出版了17份出版物,并启动了五项新的研究计划。本文记录了CHSS研究企业开始转型的激动人心的五年时期,旨在成为世界上先天性心脏外科专业的首屈一指的研究机构。
    The history of the research arm of the Congenital Heart Surgeons\' Society (CHSS) through 2017 was contained within two prior publications that covered CHSS history in general. The present article is the first to focus explicitly on the research enterprise, with emphasis on the period 2018 to 2023. During this time, the challenges of continuing to build multiple cohorts with lifelong follow-up and to transform the enterprise to a premiere research organization became manifest. Although continuing its commitment to produce impactful research results and to educate the Kirklin/Ashburn Fellow, the research team devoted considerable effort to defining the problems of cohort relevance, workflow, data management, long-term patient follow-up, CHSS member engagement, and the regulatory burden. The team wrote a proposal outlining ways to solve the challenges. A major change from a single-institution \"Data Center\" to a two-institution Center for Research & Quality (CRQ) was made, assuring increased faculty members and resources. The proposed changes to structure and process began execution in mid-2022. A second Kirklin/Ashburn Fellowship position was created. Between 2018 and 2022, the CRQ produced 17 publications and launched five new research initiatives. This article chronicles the exciting five-year period in which the CHSS research enterprise began a transformation with the intent to become the premiere research organization in the world in the specialty of congenital cardiac surgery.
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  • 文章类型: Biography
    约翰·亨特在盖伦这样最著名的研究人员和医生中排名正确,WilliamHarvey和AndreasVesalius.他作为新时代“实验手术”的创始人和伦敦著名的亨特医学博物馆的创建者,对医学史具有重要意义。他对牙科发展的贡献是无可争辩的。他的作品“人类牙齿的自然史:对其结构的解释,使用,地层,《生长与疾病》(1771年)被翻译成多种语言,但从未用俄语出版过.牙齿解剖结构描述的准确性,下巴和口腔,风景?对我们来说是当代的,颌骨的发育及其与按摩师的关系,引入“犬类”等术语,“门牙”和“前磨牙”进入科学循环和牙医的日常实践,插图优秀的质量和准确性-这一切都是约翰·亨特。他的作品预定了许多医学方向的发展道路,给他的追随者和门徒思考的食物。这篇文章揭示了他的传记的事实,在他的解剖学著作中证明了约翰·亨特对医学的贡献的重要性,手术,牙科和口腔医学的自然史。
    John Hunter is rightly ranks with such most famous researchers and physicians as Galen, William Harvey and Andreas Vesalius. His role as the founder of the \"experimental surgery\" of the New Age and the creator of the famous Hunterian Medical Museum in London is significant for the history of medicine. His contribution into development of dentistry is incontestable. His work \"The Natural history of human teeth: an explanation of their structure, use, formation, growth and diseases\" (1771) was translated into many languages, but it was never published in Russian. The accuracy of description of the anatomy of teeth, jaws and mouth cavity, the view? contemporary for us, of development of the jaws and their relationship with the masseters, the introduction of such terms as \"canines\", \"incisors\" and \"anterior molars\" into scientific circulation and everyday practice of dentists, the illustrations excellent by their quality and accuracy - all this is John Hunter. His works predetermined path of development of many medical directions, giving food for thought to his followers and disciples. The article reveals the facts of his biography, demonstrates significance of contribution of John Hunter into medicine in his works on anatomy, surgery, natural history of dentistry and stomatology.
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  • 文章类型: Historical Article
    The authors describe a history of surgical congresses in the Russian Empire, the USSR and the Russian Federation from the I Congress of Russian Surgeons held on December 28-30, 1900 in Moscow in the building of the Moscow Meeting of Doctors to the XLVIII (XIV) Congress of Surgeons of Russia held on November 25-27, 2022 in Moscow in the hotel «Cosmos». The time and place of congresses, as well as chairmen are named. The main issues are listed. Scientific issues of congresses between 1900 and 1986 are summarized in tables. The authors present a brief history of Russian surgical societies including the current Russian Society of Surgeons. Surgical forums of the 21st century are considered in detail (Congresses of Surgeons of Russia, National Surgical Congresses, All-Russian Surgical Forums). Finally, the authors came to conclusion that 55 surgical forums have been held in Russia for more than 120 years. Surgeons presented all aspects of surgery in Russia. Their issues are essentially the history of Russian surgery, and their works are sources for analysis of the past and present of Russian surgery.
    В статье описана краткая история хирургических съездов Российской империи, СССР и Российской Федерации с I Съезда российских хирургов, прошедшего 28—30 декабря 1900 г. в Москве в здании Московского собрания врачей, до XLVIII (XIV) Съезда хирургов России, состоявшегося 25—27 ноября 2022 г. в Москве в гостинице «Космос». Названы время и место проведения съездов, их председатели, перечислены основные (программные) вопросы. Научные темы съездов с 1900 по 1986 г. сведены в таблицы. Изложена краткая история хирургических обществ России, включая нынешнее Российское общество хирургов. Детально рассмотрены хирургические форумы XXI века: Съезды хирургов России, Национальные хирургические конгрессы, Общероссийские хирургические форумы. В результате авторы пришли к выводу, что за более чем 120 лет в России было проведено 55 хирургических форумов, осветивших все стороны «хирургического дела» в России. Их тематика является по сути дела историей русской хирургии, а их труды — источниками для изучения прошлого и настоящего хирургии России для того, чтобы с оптимизмом смотреть в ее будущее.
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  • 文章类型: Review
    本文回顾了腹股沟疝手术史。在不同的时间,不同的手术和不同的材料用于疝修补.然而,腹股沟疝修补术的有效性和安全性只有在1956年出版的HenriFruchaud"Anatomiedesherniesdel'aine"专论中阐明了腹股沟区的解剖特征后才出现.意大利外科医生EdoardoBassini开始了疝气学的新时代。很长一段时间,他的经典手术及其修改在手术实践中最受欢迎。1959年,LloydM.Nyhus根据腹前(后)入路的概念提出了腹股沟疝修补术,后来成为开发经腹腹膜前疝修补术(TAPP)的基础。1992年,M.Arregui使用prolene网格进行了第一次。1986年,欧文·利希滕斯坦提出了“无张力修复”的概念。基于他的概念,Lichtenstein描述了腹股沟疝修补术的开放性技术,现在以他的名字命名,在外科手术中很受欢迎。1993年,“腹膜外疝修补术”一词首次出现在EdwardH.Phillips的一篇文章中。然而,J.Dulucq开发了现代技术。目前,三次无张力腹股沟疝修补术(TAPP,在腹股沟疝手术中,有一项张力腹股沟疝修补术(Shouldice程序)占主导地位。
    The article reviews the history of inguinal hernia surgery. At various times, different procedures and diverse materials were used for hernia repair. However, the effectiveness and safety of inguinal hernia repair emerged only after the anatomic features of the inguinal region had been elucidated in a monograph by Henri Fruchaud \"Anatomie des hernies de l\'aine\" published in 1956. The Italian surgeon Edoardo Bassini began a new era in herniology. For a longtime, his classic procedure with its modifications was the most popular in surgical practice. In 1959, Lloyd M. Nyhus proposed inguinal hernia repair according to the concept of the pre-abdominal (posterior) approach that later became the basis for developing the transabdominal preperitoneal hernia repair (TAPP). In 1992, M. Arregui performed the first ТАРР using a prolene mesh. In 1986, Irving Lichtenstein proposed the concept of \"tension-free repair\". Basing on his concept, Lichtenstein described an open technique of inguinal hernia repair, which now bears his name and is popular in surgical practice. In 1993, the term \"extraperitoneal hernia repair\" first appeared in an article by Edward H. Phillips. However, J. Dulucq developed the modern ТЕР technique. Currently, three tension-free inguinal hernia repairs (TAPP, ТЕР and Lichtenstein procedure) and one tension inguinal hernia repair (Shouldice procedure) dominate in inguinal hernia surgery.
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