Abstract
Background
The purpose of this paper is to introduce a new method of assessing historical clinical series with a view to obtaining more nuanced information from the relevant texts.
Method
Seven eighteenth century clinical series were analysed by determining different parameters which could then be tabulated, thus enabling the examination of correlations within and between series.
Results
It could be seen that there were different patterns of practice related to different concepts of pathology and different patient characteristics. In particular, there were differences between urban and rural populations, particularly in relation to infection-related complications. On the other hand, the practice of acute surgery within the first 5 days after injury was similar across the series.
Discussion
It would seem that the poor hygiene intrinsic to eighteenth century urban milieus outweighed all other factors which could affect the risk of post-traumatic infections. Traffic accidents were dangerous, not least because horses were not safe in the hands of inexpert equestrians.
Conclusions
The tabulation of clinical parameters in historical series could be a useful technique for more general application in clinical series in other fields of medicine.
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References
Abernethy J (1810) Surgical observations on injuries of the head. Longman, London
Bell B (1783) Of affections of the brain from external violence. A system of surgery. C. Elliot, Edinburgh
Bell J (1826) The principles of surgery. Thomas Tegg, London
Bromfield B (1773) Sudorific opiates, recommended in concussions of the brain in chirurgical observations and cases. T. Cadell, London
Carruthers GB, Carruthers LA (2005) A history of Britain’s hospitals. Book Guild Publishing, Lewes
Dagi TF (1997) The management of head trauma. In: Greenblatt SH (ed) A history of neurosurgery. The American Association of Neurological Surgeons, Park Ridge, pp 289–343
Dease W (1776) Observations on wounds of the head. G Robinson, London
Ganz J (2014) Trepanation and surgical infection in the 18th century. Acta Neurochir (Wein) 156:615–623
Ganz JC (2013) The lucid interval associated with epidural bleeding: evolving understanding. J Neurosurg 118:739–745
Heister L (1743) Of the principles of wounds of the head. A general history of surgery in three parts. W. Innys, London, pp 82-92
Hill J (1772) Cases in surgery. J Balfour, Edinburgh
Jacyna L (2004) Abernethy, John (1764-1831). Oxford University Press, Oxford. http://www.oxforddnb.com/view/article/49. Accessed 5th May 2016
Johnston T (1649) The workes of the famous chirurgion Ambroise Pare: translated out of the Latine and compared with the French. Richard Cross, London
Kellett CE (1964) Historical introduction. In: Rowbotham GF (ed) Acute injuries of the head. E. & S. Livingstone, Edinburgh London, pp 1 - 19
Latta J (1795) Of wounds and contusions of the head in a practical system of surgery. G. Mudie and Son, Edinburgh
Le Dran H-L (1740) Observations in surgery; containing one hundred and fifteen different cases; with particular remarks on each, for the improvement of young students. J. Hodges, London
O’Halloran S (1793) A new treatise on the different disorders arising from external injuries of the head. Z. Jackson, Dublin
O’Malley CD (1964) Andreas Vesalius of Brussels 1514-1564. University of California Press, Berkeley
Pott P (1768) Observations on the nature and consequences of those injuries to which the head is liable from external violence. L. Lawes L, W. Clarke and R. Collins, London
Quesnay F (1848) Summary of observations on the use of the trepan. In: D. Ottley (ed) Observations on surgical diseases of the head and neck selected from the memoirs of the royal academy of surgery in France. The Sydenham Society, London
Sharp S (1740) Of the operation of the trepan. J. Brotherton, W. Innys and R. Manby, London
Turner D (1736) Of fractures of the cranium. The art of surgery, vol 1. C. Rivington, London
Waddington K (2007) Abernethy, John. In: Bynum WBH (ed) Dictionary of medical biography, vol A-B. Greenwood Press, London, pp pp 94-95
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Ganz, J.C. Analysis of eighteenth century neurosurgical series. Acta Neurochir 159, 605–613 (2017). https://doi.org/10.1007/s00701-017-3093-4
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DOI: https://doi.org/10.1007/s00701-017-3093-4