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The progression of wound healing during the period 1776-1899 as depicted in

Wendy Slater Student I.D. 91027353. The progression of wound healing during the period 1776-1899 as depicted in various works of the Plymouth Historic Collection.

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The progression of wound healing during the period 1776-1899 as depicted in

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  1. Wendy Slater Student I.D. 91027353 The progression of wound healing during the period 1776-1899 as depicted in various works of the Plymouth Historic Collection Objective: Discover how the treatment and understanding of open wounds has developed throughout history; focussing on infection, inflammation and amputation. Amputation: Thomas Peale 1858 constructed a statistical analysis of a new amputation technique, using long and short flaps to create a stump that could weight bear comparing it to the usual “circular amputations” that were happening in London, with poor patient outcomes. John Bell [on amputation techniques 30 years previously] “no motive for saving skin…no notions of adherence…6-8 inches of skin amputated” Bell criticised certain surgeons in his day: “They all still dress their amputations as separate soles till the twelfth day”. “A system of operative surgery” Charles Bell 1809 “A memoir on amputation of the thigh at the hip joint with a successful case” William Sands Cox 1845 Inflammation and healing: Although infection was poorly understood; inflammation due to tissue damage was noticed clinically and commented upon throughout all historical works: “Arteries…inosculate mouth to mouth…each cut surface throws out mucus…entireness of the part is so quickly restored” Bell 1795 “the necessary leakage from [tissues] produces a swelling… the equable bondage of nature …confining the limb in the situation the animal placed it…continuing till the injured ligament or tendons have recovered themselves” Griffiths 1776 “Slight febrile disturbance is produced” Helfriech 1899 “Illustrations of the great operations of surgery: trepan, hernia, amputation, aneurism and lithotomy” Charles Bell (n.d.) “On fractures and dislocation” H. Helfriech 1899

  2. Glossary of Terms • Gleety: sticky, pus-like • Sanies: a thin, foul-smelling greenish fluid discharging from a wound or ulcer • Intemperably: in a poor condition • Mortified: gangrenous, dead tissue. • Putrid fever: Typhus • Adhesion: tendency of similar surface to cling together • Circular amputation: circular incision through the skin, higher up through the muscle and even higher through the bone. • Inosculate: to unite and become continuous • Febrile: fever, high temperature.

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