Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The term “conservative surgery,” as first used by Sir W. Fergusson
in 1852, meant operations for the preservation of some part of the
body, which would otherwise have been unnecessarily sacrificed. A
smaller and more limited operation was undertaken to remove simply
the incurably disorganised portion of the body, such as a diseased
joint, and not an entire limb. Thus Fergusson said, “a compromise
may be made, whereby the original constitution and frame, as from
the Maker’s hand, may be kept as nearly as possible in its normal
state of integrity.” “No one can more thoroughly appreciate a
well-performed amputation than I do, but I certainly appreciate
more highly the operation which sets aside the necessity for that
mutilation.”
* * * * *
Two great surgeons thus bear testimony to Fergusson: “The
improvements which he introduced in lithotrity and in the cure of
cleft-palate may almost be considered typical,” says Sir Spencer
Wells,[3] “of the school of modern conservative surgery, and will
long be acknowledged as triumphs of British surgery in the reign of
Victoria.” He was, in the words of Sir James Paget, “the greatest
master of the art, the greatest practical surgeon of our time.”
WILLIAM FERGUSSON was born on March 20th, 1808, at Prestonpans,
East Lothian, and was educated first at Lochmaben in Dumfriesshire
and afterwards at the High School of Edinburgh. At fifteen he
entered a lawyer’s office, by his own desire, but soon found that
law did not suit him, and at seventeen exchanged law for medicine,
which profession his father had wished him to adopt. He was
early attracted by the teaching of Robert Knox, the celebrated
anatomist, who quickly discerned the stuff his pupil was made of.
Fergusson would often spend from twelve to sixteen hours a day in
the dissecting-room. One of his dissections of the nerves of the
face, preserved in the museum of the Edinburgh College of Surgeons,
remains an admirable example of manipulative skill and dexterity, and
the stand on which it is placed is also a specimen of his work. At
twenty Knox made him demonstrator to his class, which then numbered
four hundred. He had previously assisted John Turner, Professor of
Surgery at the College of Surgeons. At the early age of twenty-one
Fergusson became Fellow of the College of Surgeons by examination.
Knox then promoted him to a share in his lectures on general anatomy,
and the young lecturer also gave demonstrations on surgical anatomy,
which proved highly valuable. He soon began to manifest his skill
in operative surgery, and in 1831 he was elected surgeon to the
Edinburgh Royal Dispensary, and showed his boldness by performing
the important operation of tying the subclavian artery, which as
yet had only been twice done in Scotland. In 1833 he married Miss
Ranken, heiress of the estate of Spittlehaugh in Peeblesshire. This
marriage, while it placed him beyond pecuniary difficulty, had no
effect in diminishing his industry.
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