On graduation as bachelor of medicine, Lister went to Edinburgh, where
he soon afterwards became house-surgeon to Mr Syme; and he was much
impressed by the skill and judgment of this great surgeon, and also by
the superiority of his method of dressing recent wounds with dry lint,
as compared with the "water dressing" in use at University College. Yet
under these more favourable conditions the amelioration was only one of
degree; in most wounds indeed "union by first intention" was rendered
impossible by the presence of the silk ligatures employed for arresting
bleeding, for these could come away only by a process of suppuration. On
the expiry of his house-surgeoncy in Edinburgh, Lister started in that
city an extra-academical course of lectures on surgery; and in
preparation for these he entered on a series of investigations into
inflammation and allied subjects. These researches, which were detailed
fully in three papers in _Phil. Trans._ (1859), and in his Croonian
lecture to the Royal Society in 1863, testified to an earnestness of
purpose, a persevering accuracy of observation and experiment and an
insight of scientific conception which show that if Lister had never
developed the aseptic method of surgery, he would have taken a very high
place in pathology. In his speech in Paris at the Thirteenth
International Congress of Medicine in 1900, Lord Lister said that he had
done no more than seize upon Pasteur's discoveries and apply them to
surgery. But though Lister saw the vast importance of the discoveries of
Pasteur, he saw it because he was watching on the heights; and he was
watching there alone. From Pasteur Lister derived no doubt two fruitful
ideas: first, that decomposition in organic substances is due to living
"germs"; and, secondly, that these lowly and minute forms of vegetable
life spring always, like higher organisms, from parents like themselves,
and cannot arise _de novo_ in the animal body. After his appointment to
the Glasgow chair in 1860, Lister had continued his researches on
inflammation; and he had long been led to suspect that decomposition of
the blood in the wound was the main cause of suppuration. The two great
theories established by Pasteur seemed to Lister to open out the
possibility of what had before appeared hopeless--namely, the prevention
of putrefaction in the wound, and consequently the forestalling of
suppuration. To exclude the oxygen of the air from wounds was
impossible, but it might be practicable to protect them from microbes.
Public-domain text, read in full here on John Shaqi.
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