Jensen R L, Stone J L
Department of Neurosurgery, Loyola University, Chicago Medical Center, Cook County Hospital, Illinois, USA.
Neurosurgery. 1997 Jul;41(1):263-8. doi: 10.1097/00006123-199707000-00045.
Benjamin Winslow Dudley (1785-1870) was a Kentucky frontier surgeon who received basic medical education in the United States and extensive surgical training in Europe. He returned to Lexington to become a dominant figure and the most prominent surgical teacher in the Mississippi Valley. Written evidence of Dudley's operative accomplishments are sparse, but he seems to have combined the finest French (Dominique Jean Larrey, Guillaume Dupuytren) and British (Henry Cline, John Abernethy, Astley Cooper) surgical training with conservative and thoughtful patient selection. His operative endeavors in the preantiseptic era included trephination for posttraumatic epilepsy in six patients (1819-1832). This was the largest recorded series of such cases, and it stimulated other American surgeons to trephine for relief of posttraumatic seizures. Trephination for decompression and debridement was undertaken at the site of original injury to remove the cause of "cerebral excitement" and restore "corporeal and intellectual function." Dudley considered this a safe operation in "cautious, firm, and intelligent hands." He thought crowded urban hospitals were unsafe and attributed his better surgical results to the clean, rural Kentucky air. Dudley's achievement is contrasted with other Early American preantiseptic trephinations for posttraumatic epilepsy.
本杰明·温斯洛·达德利（1785 - 1870）是肯塔基州边境地区的一名外科医生，他在美国接受了基础医学教育，并在欧洲接受了广泛的外科手术培训。回到列克星敦后，他成为了密西西比河谷地区的主导人物以及最杰出的外科手术教师。关于达德利手术成就的书面记录很少，但他似乎将法国最优秀的（多米尼克·让·拉雷、纪尧姆·迪皮特朗）和英国的（亨利·克莱恩、约翰·阿伯内西、阿斯利·库珀）外科手术培训与保守且周全的患者选择相结合。在抗菌时代之前，他的手术尝试包括为6名患者进行创伤后癫痫的环锯术（1819 - 1832年）。这是此类病例记录中数量最多的系列，它促使其他美国外科医生采用环锯术来缓解创伤后癫痫发作。在原受伤部位进行减压和清创的环锯术，以消除“大脑兴奋”的原因并恢复“身体和智力功能”。达德利认为在“谨慎、坚定且明智的人手中”，这是一种安全的手术。他认为拥挤的城市医院不安全，并将自己更好的手术结果归功于肯塔基州乡村清新的空气。达德利的成就与美国早期其他针对创伤后癫痫的抗菌时代之前的环锯术形成了对比。
