Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Surgery. 2019 May;165(5):860-867. doi: 10.1016/j.surg.2018.07.025. Epub 2018 Sep 14.
The use of Eduard Pernkopf's anatomic atlas presents ethical challenges for modern surgery concerning the use of data resulting from abusive scientific work. In the 1980s and 1990s, historic investigations revealed that Pernkopf was an active National Socialist (Nazi) functionary at the University of Vienna and that among the bodies depicted in the atlas were those of Nazi victims. Since then, discussions persist concerning the ethicality of the continued use of the atlas, because some surgeons still rely on information from this anatomic resource for procedural planning. The ethical implications relevant to the use of this atlas in the care of surgical patients have not been discussed in detail. Based on a recapitulation of the main arguments from the historic controversy surrounding the use of Pernkopf's atlas, this study presents an actual patient case to illustrate some of the ethical considerations relevant to the decision of whether to use the atlas in surgery. This investigation aims to provide a historic and ethical framework for questions concerning the use of the Pernkopf atlas in the management of anatomically complex and difficult surgical cases, with special attention to implications for medical ethics drawn from Jewish law.
使用爱德华·珀恩科普夫（Eduard Pernkopf）的解剖图谱在现代外科中带来了一些伦理挑战，涉及到利用源自虐待性科学工作的数据。20 世纪 80 年代和 90 年代的历史调查显示，珀恩科普夫曾是维也纳大学的一名积极的纳粹（纳粹主义者）官员，而在图谱中描绘的尸体中有纳粹受害者的。从那时起，人们就一直在讨论继续使用该图谱的伦理问题，因为一些外科医生仍然依赖该解剖资源来进行程序规划。在为外科患者提供护理时使用该图谱的伦理含义尚未详细讨论。本研究基于对围绕珀恩科普夫图谱使用的历史争议的主要论点的回顾，提出了一个实际的患者病例，来说明与是否在手术中使用图谱相关的一些伦理考虑。本研究旨在为有关在解剖复杂和困难的外科病例中使用珀恩科普夫图谱的问题提供历史和伦理框架，特别关注从犹太教法律中得出的对医学伦理的影响。
