50 Years ago in CORR: A sterilizable container for special instruments and internal fixation apparatus for operating-room orthopaedic surgery procedures William Compere Basom MD CORR 1959;13:327-328.

摘要

We frequently take for granted commonplace procedures that at an earlier time reflected a novel concept. A case in point is the manner in which we use surgical instruments. In the days before asepsis, morbidity and mortality of major surgery was very high. After the introduction of aseptic techniques by Lister in the 1860s [3-6], operating room practices slowly evolved over the decades. By the late 1800s the concept of sterilization by heat (steam or boiling water), rather than carbolic acid, had been established. According to Pilcher [7], Champoniere at the Hopital Saint Louis in Paris had, by 1890, established a remarkable record: "As testimony that he can speak with authority on the subject, he points to his own record, achieved, apparently, in the most unfavorable surroundings-132 abdominal sections, with but 10 deaths, 237 other major operations, with no deaths. His work is carried on without suppuration."