Excerpt from Plastic Surgery Its Principles and Practice
About ten years ago my friend Dr. J. M. T. Finney, who knew of my interest in plastic surgery, suggested that I specialize in this work. He said that every general surgeon was operating on these cases because they had to be taken care of, but that no one in this country was doing the work properly and that the field was undeveloped.
As a result this book has been written to record my personal experience and also to collect from scattered sources, and place in an accessible form the principles and methods that have been of use to me.
It is my hope that this book may show the general practitioner the possibilities of plastic surgery, and start the student or beginner in this subject on the right track. The more experienced surgeon may also find methods with which he is unfamiliar, and which may be of use to him in dealing with plastic cases.
The teaching of this subject has been absolutely neglected everywhere, both for medical students and for post-graduates. There is as yet no department for instruction of this kind in any American University, and no complete text-book has hitherto been written on the subject.
It has been commonly said that any surgeon who can successfully do an intestinal suture can do plastic surgery. Careful investigation of this point warrants the statement - without qualification - that few general surgeons do plastic surgery as it should be done. The possibilities are little understood by the practising physician, and hardly more by the general surgeon.
The time has come for the separation of plastic surgery from the general surgical tree. There should be a well-trained plastic surgeon on the staff of every large general hospital, in order that these patients may be cared for intelligently.
During the war (1914-1918) plastic surgery was arbitrarily limited, by regulation, to maxillo-facial reconstruction. This, it is true, is a very important part of the subject, but it must be remembered - and the fact should be emphasized - that plastic surgery of the trunk and extremities is equally important. The results may be less spectacular, but surely are just as vital to the patient.
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