Markatos Konstantinos, Tzivra Anna, Tsoutsos Spyridon, Tsourouflis Gerasimos, Karamanou Marianna, Androutsos Georgios
1 Biomedical Research Foundation of the Academy of Athens, Athens, Greece.
2 Kapandriti Medical Center, Oropos, Attiki, Athens, Greece.
Surg Innov. 2018 Apr;25(2):183-186. doi: 10.1177/1553350617744901. Epub 2017 Dec 4.
The purpose of this study is to summarize the innovations of Ambroise Paré (1510-1590) on the treatment of war wounds and improving amputation technique through ligature in arteries and veins. Ambroise Paré debunked the widely accepted idea that gun powder was poisonous for wounds. He also minimized the use of cautery of wounds by his dressing methods and the application of ligature during amputations. All these innovative rationales revolutionized the practice of war surgery during the Renaissance and paved the way for the introduction of modern surgery. Nevertheless, although his wound dressing innovations became widely accepted, the same did not happen with ligature and amputation; those techniques could become widely applicable if one could somehow control bleeding until the blood vessels had been tied. This became possible much later in the 18th century when Jean Louis Petit invented the first useful and efficient tourniquet.
本研究的目的是总结安布鲁瓦兹·帕雷(1510 - 1590)在治疗战争伤口以及通过结扎动脉和静脉改进截肢技术方面的创新。安布鲁瓦兹·帕雷揭穿了火药对伤口有毒这一被广泛接受的观点。他还通过其包扎方法以及在截肢过程中应用结扎术,尽量减少了伤口烧灼的使用。所有这些创新理念在文艺复兴时期彻底改变了战争外科手术的实践,并为现代外科手术的引入铺平了道路。然而,尽管他的伤口包扎创新被广泛接受,但结扎术和截肢术却并非如此;如果能够以某种方式控制出血直到血管被结扎,那些技术就可以广泛应用。这在18世纪后期让·路易·佩蒂发明了第一个实用且有效的止血带后才成为可能。