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The evolution of lower limb amputation through the ages. Historical note.

机译:下肢截肢的演变历代以来。历史记录。

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The aim of this study was to highlight the important stages of the evolution of limb amputation through the ages through the search of the relevant international literature. Limb amputation is one of the most serious surgical operations, which is associated with high mortality and morbidity. Evidence regarding the execution of limb amputation can be found back in Neolithic times. The most important steps in the evolution of the technique of limb amputation were made in the 16th, 17th, and 18th centuries when A. Pare' introduced the vessel ligation and the French barber surgeon Morell introduced the use of a tourniquet to reduce the bleeding. During the same period, from the ''one-stage circular cut'' the technique evolved to either ''three-stage circular cut'' or to ''flap amputation'', single or double. Limb amputation represents one of the oldest and most serious surgical operations. Its evolution parallels the maturation process of surgery, with the major developments in the technique to have been made from the 16th to the 18th century. In the beginning of the 21st century, limb amputation appears to be a safe operation ending up with a functional stump.
机译:这项研究的目的是通过寻找相关的国际文献来强调各个年龄段肢体截肢进化的重要阶段。肢体截肢是最严重的外科手术之一,与高死亡率和高发病率有关。关于肢体截肢的证据可以追溯到新石器时代。肢体截肢技术的发展中最重要的步骤是在16、17和18世纪,A。Pare'介绍了血管结扎术,法国理发师莫雷尔介绍了使用止血带减少出血的方法。在同一时期,该技术从“一阶段圆切”发展到“三阶段圆切”或“瓣截肢”,单发或双发。肢体截肢是最古老,最严重的外科手术之一。它的发展与外科手术的成熟过程平行,随着技术的重大发展已在16世纪至18世纪取得了进步。在21世纪初,截肢似乎是一种安全的手术,但最终会导致功能性残端。

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