A dissertation on the inutility of the amputation of limbsBilguer, Johann Ulrich
History
A dissertation on the inutility of the amputation of limbs
Bilguer, Johann Ulrich
Amputation -- Early works to 1800
Having resolved some little time since to publish in this learned
university a Dissertation which might serve as a specimen of my Medical
Acquirements, the subject which appeared the most suitable to my
purpose, is one, that may improve the art of surgery, which I practised
for several years during the heat of the late bloody wars, and may
at the same time wipe away the old aspersion, first broached at Rome
against Archagates, and so often repeated since, that surgeons are
executioners, who cut and burn without mercy.
The cutting off a limb being the severest means employed in surgery
for the relief of mankind, an operation which every one beholds with
horror, I cannot, I imagine, more effectually accomplish my design, or
do a greater service, than by demonstrating, _that the cases wherein
amputation is necessary, are much less frequent than has been hitherto
supposed, and that it may even be almost totally dispensed with_.
SECT. II.
My first thoughts on this subject arose from observing what passed
under my own inspection in the military hospitals.
In the first place I remarked, that in a very great number of cases,
where amputation was judged necessary by the physicians and surgeons
of the army, and even by the wounded themselves, in order to preserve
life, it seldom or almost never answered the end.
In the second place, I saw and had under my immediate care, a great
number of patients whose limbs had been carried off by cannon balls,
and in such a manner too, that all those who adhere to, and are afraid
to deviate from established rules, would have performed a fresh
amputation on the remaining stumps, whom I cured, as far as they were
capable of being cured, without having recourse to such disagreeable
means.
And lastly; many others, whose limbs were not intirely separated
off, but so much detached, wounded, shattered and contused, that the
ablest surgeons deemed it necessary to take them wholly off, were
nevertheless, by my endeavours, contrary to the general opinion, cured
without amputation.
SECT. III.
Public-domain text, read in full here on John Shaqi.
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