Excerpt from Postoperative Treatment; An Epitome of the General Management of Postoperative Care and Treatment of Surgical Cases as Practised by Prominent American and European Surgeons
The average graduate in surgery knows but little concerning tlie proper management of postoperative treatment of surgical cases; most of his time in college being engrossed with what appears to be the more important matter of surgical technique, pathology and bacteriology. He realizes the great importance of minor details only when, in actual practice, he is thrown upon his own resources, and the skill he may then acquire is obtained through personal experiences with suffering patients. He may visit the greatest clinics and witness the most brilliant operative technique, but the curtain falls and his observation ceases on the removal of the patient from the operating amphitheatre.
I have long regarded postoperative care and treatment as being equal, if not of greater importance, than mere brilliant technique. Faulty technique may complicate or retard recovery, but faulty postoperative management has robbed many surgeons of what should have been successful results.
The practice of asepsis and antisepsis has removed many complications which heretofore so commonly followed surgical operations. But from my own experience and the observation of cases occurring in the practice of some of our best surgeons I am forced to conclude that infection is often unavoidable and frequently occurs under the most favorable circumstances. It is these cases that frequently tax to the utmost the skill and ingenuity of the postoperative attendant.
Surgeons differ radically over the management of similar cases, each basing his opinion on conclusions evolved from personal experience, hence the meagre information given this important subject by the average modern text-book is frequently conflicting and therefore a disappointment to the student and busy surgeon.
I have long felt the need of a work of this character, and have attempted to compile a rational system, a text-book or guide to the proper postoperative management or treatment, which, so far as I have been able to ascertain, is the first work devoted exclusively to this subject brought before the profession.
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