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The History of Surgery
Trepanation was one of the earliest forms of surgery and was common
practice in prehistoric times. It involved drilling a small hole in
the head to release evil spirits trapped inside the body that were
supposedly causing the patient ill health. Although skulls that have
survived from the prehistoric age show signs that some people survived
after trepanation, many people would have died after having this
operation from infection or even the pain of it. In the Middle Ages
and throughout the Renaissance cauterisation was used. This was when a
hot iron was used to seal the wound left after amputation. Amputations
were carried out using saws, which would have caused the patient great
pain. Also the medical instruments used at this time were not cleaned
properly so the chance of infection and the spread of disease was
high. Effective anaesthetics were not in wide use by surgeons before
1840 and the only other option that they had were to give the patient
alcohol or opium which would not ease the patients pain; if anything
it would worsen the patients health.
b) After 1840 the use of anaesthetics in surgery increased. At first
the number of deaths after and during surgery increased as surgeons
became more ambitious in the operations that they performed, but
anaesthetics did allow surgeons to learn more about the anatomy. The
increased use of anaesthetics also greatly reduced the pain that the
patients had to suffer. After anaesthetics had been introduced people
were still dying of infection, which resulted in scientists
questioning what caused it and how it could be prevented. After Louis
Pasteur had proved that g...
... middle of paper ...
...ics and antiseptics led to a new era in
medicine which resulted in surgery developing rapidly as saving
peoples lives through operations became a reality. However, before
this time the chance of patients surviving after an operation were a
lot slimmer due to the lack of knowledge about infection, pain and
bleeding.
Although surgery has always been a key feature in medicine throughout
history it has not always been the most important. Throughout ancient
medicine surgery was quite basic and no major developments were made
in this area. There were a number of factors more important than
surgery at the time. This continued through the Middle Ages and most
of the Renaissance. Surgery did not really become a significant factor
in medicine until the 1800s, which saw the introduction of both
anaesthetics and antiseptics.
Modern technology has helped with the growth of many medical discoveries, but the original ideas all had to start from somewhere. One of the most famous surgeons in the medical world, Ambroise Pare is responsible for many of this generation’s practices. Ambroise Pare was born in 1510. He was a French surgeon, and later advanced to do his work as a royal surgeon for kings Henry II, Francis II, Charles IX and Henry III. From there, he went on to become one of the most influential people in medical work this world has seen. Because of him, many are still able to learn and grow from his teachings. Ambroise Pare impacted many people and ideas of medicine because of the innovative ideas he shared, the lives he saved, and the legacy he left behind.
In modern medicine when an ailment arises it can be quickly diagnosed, attributed to a precise bacteria, virus, or body system, and treated with medication, surgery or therapy. During the time before rational medical thought, this streamlined system of treatment was unheard of, and all complaints were attributed to the will of the multitude of commonly worshiped Greek gods (Greek Medicine 1). It was during the period of Greek rationalism that a perceptible change in thought was manifested in the attitudes towards treating disease. Ancient Greece is often associated with its many brilliant philosophers, and these great thinkers were some of the first innovators to make major developments in astrology, physics, math and even medicine. Among these academics was Hippocrates, one of the first e...
The contributions of several doctors, researchers, and scientists helped improve the health of the growing population. In 1850 the average life expectancy was 42 years. By 1910 the average life expectancy had risen to nearly 55 years. Between 1850 and 1910 there were several advances in the medical field. The introduction of genes, white blood cells, blood groups, insulin, rubber gloves, aspirin, and vitamins and the discoveries of Pasteur, Charcot, Halsted, Zirm, Lister, and Koch were the starting point of an international fight against disease.
A Medieval doctor and present day doctor have the same principles, but they acquire the skills different ways. Nowadays, if anybody had a specific condition, there is a doctor for that specific acquired condition that he or she may have. During the middle Ages, surgeons were considered to be craftsmen, skilled with tools. They became capable of carrying out a wide variety of tasks. The man who cut your hair was often the one who operated on you if you were ill. Present day doctors do not cut hair and they acclaim a specific job assigned to them. Doctors now have to go the college and get a degree, where in the middle ages they were not taught into a medical practice. Many believe the practice became useless, but these Nim Gimmers were much needed throughout the Medieval Times. (Nosow Pg.7)
“Surgery.” Brought to Life Exploring the History of Medicine. Science Museum, London, n.d. Web. 23 Jan. 2014.
To have fully conscious, screaming patients during an operation even made surgeons not want to perform surgery. However, the discovery of surgical anesthesia changed the way most, including surgeons, perceived surgery. Although surgical anesthesia was not discovered until the middle of the nineteenth century, there were significant contributions by talented thinkers made more than one hundred years before the discovery.4 The list of those contributors includes Joseph Priestley, who discovered hydrogen in 1766, nitrogen in 1772, and oxygen and nitrous oxide in 1774 and also introduced inhalation as a way to administer medicine5, Humphrey ...
Anesthesia was not used in surgeries until 1846, so prior to that the patient was completely conscious when they operated on him or her, unless the patient passed out from pain. Patients were unwilling to be cut into while they were awake: “Dragged unwillingly or carried from the ward to the operating theatre by a couple of hospital attendants (in Edinburgh a large wicker basker was used for this purpose) the patient was laid on the operating table and if necessary strapped down” (Youngson 27). The tools used in surgeries can be seen here. Anesthetics Anesthetics were not used in surgery until October 16, 1846, at Massachusetts General Hospital (Youngson 51). Anesthesia is an inhaled gas known as ether.
"Science Museum. Brought to Life: Exploring the History of Medicine." Surgery. N.p., n.d. Web. 07 Mar. 2014.
Shwetha Srinivasan Core 1 Medieval Medicine Medicine in medieval times was not effective and very pointless, but is the main reason we have so much knowledge today. The middle ages was a time of desperation and darkness which eventually turned to light and rebirth. The knowledge in this time was snowballing. Medicine was the main part of that growth. Medieval medicine can be defined simply by its physicians, their discoveries, surgery techniques, and common diseases and treatments.
In the early 1800’s, before the use of anesthesia, many patients with life threatening issues would forgo surgery and choose the permanent path of death rather than undergo a painful, emotionally scarring procedure such as surgery before anesthesia. When surgeries did take place, they would be performed on the top floors of hospitals so that the other patients couldn’t hear the screams. More than 8,000 anesthesia-free operations were performed in the Ether Dome at Mass General Hospital, coincidentally the birthplace of the first surgery “without pain” (Mass General).
Fradin, Dennis Brindell. "We Have Conquered Pain": The Discovery of Anesthesia. New York: Simon & Schuster Children's Division, 1996. Print.
Because of the lack of knowledge about many ailments, many advances in hospitals were completed. Anesthetics were developed, as well as clinics for rehabilitation and new knowledge was gained on the matter of reconstructive surgery. As a result of scurvy, soldiers frequently required reconstructive bone and joint surgery, just to be able to walk again.
Although surgical operations were performed, they did not know about sanitisation and there were no anaesthetics. Most patients died from infection or shock.
Anesthesia is used in almost every single surgery. It is a numbing medicine that numbs the nerves and makes the body go unconscious. You can’t feel anything or move while under the sedative and are often delusional after being taken off of the anesthetic. Believe it or not, about roughly two hundred years ago doctors didn’t use anesthesia during surgery. It was rarely ever practiced. Patients could feel everything and were physically held down while being operated on. 2It wasn’t until 1846 that a dentist first used an anesthetic on a patient going into surgery and the practice spread and became popular (Anesthesia). To this day, advancements are still being made in anesthesiology. 7The more scientists learn about molecules and anesthetic side effects, the better ability to design agents that are more targeted, more effective and safer, with fewer side effects for the patients (Anesthesia). Technological advancements will make it easier to read vital life signs in a person and help better decide the specific dosages a person needs.
Treatments in the past were pretty good and quite the same compared to the treatments given to people now, for instance, mastectomy’s which was the primary treatment in the past, treatments that were given by Greeks and Romans were very different and painful. They used crude surgical tools to remove the tumors, they would also burn or cut them out patients were not given anesthesia or substance because they didn’t have it or antiseptic methods of eliminating infection-causing microbes.