外科学绪论 Introduction of Surgery by murplelake77

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									    Department of Surgery
Ruijin Clinical Medical College
Shanghai Jiao Tong University
  Development of Modern Surgery
1. Anatomy


                John Hunter (1728-1793), the
                father of experimental surgery
                and a superb anatomist and
                teacher.
Development of Modern Surgery
2. Anesthesia


                Willam t.G. Morton (1819-1868),
                a Boston dentist whose successful
                demonstration of ether anesthesia
                on October 16, 1846, at the
                Massachusetts Gneeral Hospital
                was a landmark in the history of
                surgery
Development of Modern Surgery
3. Antisepsis



                Joseph Lister (1827-1912),
                the originator of antiseptic
                surgery
   Development of Modern Surgery
 4. Blood transfusion




                                              Richard Lewisohn (1875-1961), a
Karl Landsteiner (1868-1943), one of the      surgeon at the Mount Sinai Hospital,
first scientists to study the physical        introduced the modern technique of
processes of immunity. He is best known       blood transfusion, developed from his
for his identification and characterization   discovery of a method of preventing
of the human blood groups, A, B, and O.       coagulation of the blood outside the
                                              body.
  Innovators & Pioneers in Surgery




Theodor Billroth (1829-1894), professor at   Theodor Kocher (1841-1917), professor of
the University of Vienna and pioneer         surgery at the University of Berne and
abdominal surgeon, Billroth was one of the   pioneer in the development of surgery of
most influential teachers of his time.       the thyoid. He received the Nobel Prize in
                                             1909.
 Innovators & Pioneers in Surgery
John H. Gibbon (1903-1973), pioneer
cardiothoracic surgeon who developed
extracorporeal circulation.




                                       Alexis Carrel (1873-1944), an experimental
                                       surgeon interested in wound healing, tissue
                                       culture, organ transplantation, and blood
                                       vessel anastomosis. He was awarded the
                                       Nobel Prize in 1912.
Innovators & Pioneers in Surgery

               傅培彬 (1912-1989),
               瑞金医院外科创始人
    The role of SJTUSM in the development
              of surgery in China
1954 Commissurotomy of mitral stenosis
1958 Severe Burn
1963 Replantation of cut limb
1977 The 1st case of Liver transplantation
1978 The 1st case of Heart transplantation
1990s- Burn surg, Digestive S., P. Biliary
  Stomatological,     S.Plastic,   S.Pediatric,
   Cardio S.
         Category of Surgery

1. Classification of Surgical Diseases
1) Trauma       mechanical thermal
                chemical      electrical……
2) Infection
3) Neoplasia
                benign        malignant
4) Anatomical abnormalities
                congenital acquired
            Category of Surgery
5) Metabolic & Hormonal disorder

6) Infarction & Ischamia

7) Others

            Obstruction

            Parasite diseases

            Vein varicose
   Development of Surgical Specialties

1) Objects

   Experimental Surgery

   Clinical Surgery
   Development of Surgical Specialties

2) Human Anatomy
 Arthrosteopedic surgery
 Dentofacial surgery
 Cardiothoracic surgery
 Urologic surgery
 Neurosurgery
 General surgery
 Abdominal surgery
     Development of Surgical Specialties

3) Characteristics
  Neoplastic surgery
  Emergency surgery
  Trauma surgery
  Burn surgery
4) Operation Methods
  Plastic surgery
  Microsurgery
  Transplantation
  Minimally invasive surgery
   Development of Surgical Specialties

5) Age
   Pediatric Surgery
   Adult Surgery
6) Specialty
   Gynecology
   Otolaryngology
   Ophthalmology
 General Surgery & Special Surgery


General Surgery
  Common Bases
  Bridge between basic and clinical medicine
Special Surgery
   Different Systems
 General Surgery & Special Surgery


Surgical molecular biology
Surgical immunology
Aseptic technique
Fluid and electrolyte management and
  acid-base balance
Blood transfusion
 General Surgery & Special Surgery


Surgical shock
Surgical nutrition
Multiple organ dysfunction syndrome, MODS

Anesthesia
Surgical intensive care
General Surgery & Special Surgery

Brain-cardiopulmonary Resuscitation
Pain management & Analgesia
Paraoperative management
Outpatient surgery
Surgical infection
Neoplasma
    General Surgery & Special Surgery

Trauma
Burns & Cold injury
Microsurgery
Organ transplantation
Tissue engineering
Laparoscopic & thorascopic surgery
Endoscopic surgery
Surgical intervention treatment
       How to learn surgery


Moral Character

Theory and Practice

Basic theory

Basic knowledge

Basic technique
Spunk of tiger — 胆大
                        Eyes of eagle — 眼明




 Hands of women — 手巧   Heart of mother — 心细
- Learn to find questions
- Learn to ask questions

- Learn to solve questions

Books are you best teachers
Library is your best school
Now, you may have a good start
 - why to learn
 - how to learn
Well begun, half done.
Thank you

								
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