The Candy Jar

Stop by often for new "tidbits" of information from favorite web sites, hot off the press publications, to Life's Little Instructions for Surgeons, and maybe the source for some real candy. 

Come back again.


 

Recently Donald R. Carter and Russell G. Postier published an article on the department's history.  If you are interested in how it all began and transformed, please read:  The Department of Surgery: From Indian Territory to the 21st century.


For students thinking about becoming a surgeon, the American College of Surgeons has written a few helpful suggestions:  So You Want to Be a Surgeon




Looking for a good article on vascular exposure of the major vessels? Dr. Postier recommends: "Operative management of penetrating vascular injuries of the thoracic outlet" by Schaff HV; Brawley RK in Surgery 1977 Aug; 82(2):182-91.  
UI: 877862   


Looking for a information on appendicitis? From the former chairman, G. Rainey Williams: "A History of Appendicitis with Anecdotes Illustrating Its Importance" in Annals of Surgery 1983 May; 197(5):495-506.   


Halsted Principles
The essentials of Halstedian surgery; based on a fundamental knowledge of wound healing,are known to modern-day surgeons as the "Tenets of Halsted"; these are: (1) the gentle handling of tissues; (2) the aseptic technique; (3) sharp anatomic dissection of tissues; (4) careful hemostasis, using fine, non-irritating suture material in minimal amounts; (5) the obliteration of dead space in the wound; (6) avoidance of tension; and (7) the importance of rest. These tenets are the basis of modern surgical craftsmanship.

From John A Guis, Fundamentals of General Surgery, 2d edition, Year Book Medical Publishers, 1962, p. 27


  


Who was Whipple?
The Whipple procedure is one of the more challenging operations in the field of surgery. Allen Oldfather Whipple (1881-1963) is credited with the first successful pancreatico- duodenectomy in 1934. Dr. Allen O. Whipple was a Professor of Surgery at Columbia University in New York City. He was born in Persia in 1881. He completed his undergraduate degree at Princeton University and then went to medical school at the College of Physicians and Surgeons of Columbia University. Twenty-five years after joining the staff at Presbyterian Hospital in New York City he submitted a short paper to the American Surgical Association entitled "Treatment of Carcinoma of the Ampulla of Vater" which described the previously reported animal studies, and the clinical attempts of William Halsted. Dr. Whipple's first attempt was not successful, but after changing from catgut suture to silk, he had better results. His procedure took 3 1/2 to 5 hours to complete. During his career he performed 37 pancreaticoduodenectomies.

For more information:

Original paper. Whipple AO, Parsons WB, Mullins CR. Treatment of Carcinoma of the Ampulla of Vater. Ann Surg 1935; 102: 763-769.


Peters JH, Carey LC. Historical Review of Pancreatico- duodenectomy. Am J Surg 1991 Feb; 161: 219-225.

Bassin A, JP O'Leary. The First Report of a Successful Pancreaticoduodenectomy. Am Surg 1995 Sep; 61: 845-846.

photograph from the Historical Collection, College of Physicians of Philadelphia