The Seventeenth and Eighteenth Centuries: Salient Events in Surgery and Plastic Surgery
Learned societies and scientific organizations are established in Italy, England, France, and Germany to coordinate and promote research and experiments.
Plastic surgery disappears almost completely. The arm flap procedure for nasal reconstruction is often reported in medical literature, but rarely practiced and becomes prey to charlatans and mockery. Readers enjoy curious and peculiar stories regarding the art of nasal reconstruction, in particular the use of the arm flap harvested from a servant instead of from the patient’s own arm.
W. Fabry von Hilden is one of the most talented German surgeons of the seventeenth century. His Opera omnia, issued in 1646, contains a series of unusual surgical cases and their treatment covering the entire field of surgery. Among them are scar contracture of the hand after a burn and the device to maintain the hand straight, breast cancer and axillary lymph node excision, removal of an iron splinter from the eye using a magnet, and upper arm lymphoedema.
Johannes Schultes publishes Armamentarium Chirurgicum (Surgical Armamentarium) in 1655, the most influential and successful textbook of surgery in the seventeenth century, with numerous plastic surgery procedures.
William Harvey publishes his discovery of blood circulation in 1628. As a result, physicians and scientists try to inject drugs into the bloodstream to carry them directly to various parts of the body, favoring the healing of wounds, curing diseases, and improving the quality of life. In 1654, Francesco Folli, an Italian physician practicing in Florence, conceives the idea of performing transfusions for ailing bodies recovering from sickness, favoring wound healing. However, the first attempt of blood transfusion in animals is attributed to Richard Lower, a British physician, who conducts experiments under the supervision of the Royal Society of London in 1665. Two years later, in 1667, Jean-Baptiste Denis practices the first animal-to-man transfusion in a 45-year-old man to relieve pain, ensuring longevity and introducing a youthful, healthy spirit into an old individual. The procedure is named chirurgia transfusoria (transfusory surgery), a technique that becomes quite popular in England, France, and Italy about 1667–1668. The drama occurs when Denis attempts a second transfusion in two patients who suddenly die. Blood transfusion is immediately discontinued.
In 1721, Tagliacozzi’s De Curtorum Chirurgia is reissued in Geneva, and two dissertations on nasal reconstruction are discussed in Uppsala and Paris, denoting an increasing interest in plastic and reconstructive surgery during the eighteenth century.
In Germany, Lorenz Heister publishes Chirurgie in 1718, one of the most important surgical tracts of the eighteenth century, with numerous plastic surgery procedures.
In France, Jean Louis Petit is one of the pioneers emphasizing the importance of mastectomy with concurrent excision of pectoralis muscle and axillary lymph nodes, in 1774.
Pierre-Joseph Desault is best remembered for the idea of wound debridement, the basis of reparative surgery in 1795.
KeywordsLearned societiesAccademia del CimentoAccademia de’ LinceiRoyal Society of LondonAcadémie Royal des SciencesAcademia Naturae CuriosorumGiovanni Battista CortesiCraniostenosisAthanasius KircherSympathetic noseKenelm DigbyPowder of sympathyBone graft; Fabricius ab AquapendenteGiulio CasserioFabry von HildenJohannes SchultesBlood transfusionLorenz HeisterJean Louis PetitRadical mastectomyPierre DesaultWound debridement