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History of Surgery. History of Surgery. Asepsis and Asepsis and antisepsis antisepsis L.Yu.Ivashchuk L.Yu.Ivashchuk

History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

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Page 1: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

History of Surgery. History of Surgery. Asepsis and antisepsisAsepsis and antisepsis

L.Yu.IvashchukL.Yu.Ivashchuk

Page 2: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk
Page 3: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk
Page 4: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Da VinciDa Vinci

Page 5: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk
Page 6: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Claudius GalenClaudius Galen He was born around He was born around 130 years B.C. The 130 years B.C. The famous anatomist, famous anatomist, philosopher, philosopher, physiologist, studied physiologist, studied surgery was a doctor in surgery was a doctor in the school of gladiators, the school of gladiators, proved that the blood proved that the blood moves through the moves through the arteries rather than arteries rather than pneumatic. The pneumatic. The authority of Galen authority of Galen spread the thoughts and spread the thoughts and deeds of future deeds of future generations for 14 generations for 14 centuriescenturies..

Page 7: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Miguel ServetMiguel Servet 1511 – 1553 1511 – 1553 yyyy..

Spanish philosopher Spanish philosopher and physician. He and physician. He originated the idea of originated the idea of the existence of the existence of pulmonary circulationpulmonary circulation..

Page 8: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Andreas Andreas VesaliusVesalius

1514 – 1564 1514 – 1564 yyyy..

In 1543 he In 1543 he published a famous published a famous work - a treatise of 7 work - a treatise of 7 volumes (about the volumes (about the structure of the human structure of the human body). Thoroughly body). Thoroughly describe the structure describe the structure of all organs and of all organs and systems, including the systems, including the blood - pointed out blood - pointed out numerous mistakes of numerous mistakes of their predecessors, their predecessors, including Galen.including Galen.

Page 9: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

William HarveyWilliam Harvey 1578 – 1657 1578 – 1657 yyyy..

English physician, English physician, naturalist and founder of naturalist and founder of modern physiology and modern physiology and embryology. He created the embryology. He created the theory of circulation, theory of circulation, described the large and described the large and small circulation, small circulation, demonstrated the role of the demonstrated the role of the heart in the circulatory heart in the circulatory system.system.

Page 10: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Ambroise PareAmbroise Pare 1510 – 1590 1510 – 1590 yyyy..

French surgeon a French surgeon a parent of modern parent of modern surgery, was the surgery, was the personal surgeon 4 personal surgeon 4 French kings had the title French kings had the title of "Master - Barber - a of "Master - Barber - a surgeon." Pare surgeon." Pare successfully used during successfully used during surgery vascular ligation surgery vascular ligation thread - ligature.thread - ligature.

Page 11: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Vessel ligation by PareVessel ligation by Pare

Page 12: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Jules PeanJules Pean

The famous French The famous French surgeon. Author of the surgeon. Author of the first gastrectomy and first gastrectomy and many other surgeries. many other surgeries. Introduced in surgical Introduced in surgical practice hemostatic practice hemostatic clamp - Pean.clamp - Pean.

Page 13: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Pean clamp on vesselPean clamp on vessel

Page 14: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

John Friedrich John Friedrich August von August von

EsmarchEsmarch

The representative of The representative of the German Surgical school. the German Surgical school. I made hemostatic I made hemostatic tourniquet as a rubber tourniquet as a rubber band, author of artificial band, author of artificial limbs bleeding in the choir limbs bleeding in the choir of various surgical of various surgical interventions.interventions.

Page 15: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Plait EsmarchPlait Esmarch

Page 16: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Alex CarrelAlex Carrel

The famous American The famous American surgeon experimenter surgeon experimenter French origin. Author of French origin. Author of the first vascular suture the first vascular suture and Nobel laureate.and Nobel laureate.

Page 17: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Seam Carrel on vesselSeam Carrel on vessel

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Karl LandsteinerKarl Landsteiner

In 1901 he discovered In 1901 he discovered the phenomenon the phenomenon isoagglutination and 3 blood isoagglutination and 3 blood groups. Nobel Prize.groups. Nobel Prize.

Page 19: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk
Page 20: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

October 16, 1846 the official birthday of October 16, 1846 the official birthday of anesthesia. World Day anesthesiologistanesthesia. World Day anesthesiologist. .

Page 21: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Ihnatts Philipp Ihnatts Philipp SemmelweisSemmelweis

Forerunner of Forerunner of antiseptic methods in antiseptic methods in surgery, obstetrics surgery, obstetrics and gynecology. and gynecology. 1847 - bleach.1847 - bleach.

Page 22: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Nikolay PirogovNikolay Pirogov

… … not far from the not far from the time when a time when a

thorough study of thorough study of trauma and trauma and

surgery Hospital surgery Hospital effluvium give new effluvium give new

development development ……

Page 23: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Louis Pasteur 1863 - Louis Pasteur 1863 - opened causes opened causes fermentation and fermentation and putrefaction which is putrefaction which is based on the specific based on the specific activity of activity of microorganismsmicroorganisms..

Page 24: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Joseph Lister (1867r.) Joseph Lister (1867r.) birthday antisepticsbirthday antiseptics..

Page 25: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Great Ukrainian. Nicholas Sklifosovskiy. Great Ukrainian. Nicholas Sklifosovskiy. Pioneer of antiseptics in RussiaPioneer of antiseptics in Russia. .

Tomb of the scientist in the village. Yakivtsi (PoltavaTomb of the scientist in the village. Yakivtsi (Poltava))

Page 26: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Thank you

Page 27: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

HistoryHistoryIn 1861 was published in book In 1861 was published in book I. Semmelweis Die Aetiologie, I. Semmelweis Die Aetiologie, der Begriff und die Prophylaxis der Begriff und die Prophylaxis des Kindbettfiebers («etiology, des Kindbettfiebers («etiology, nature and prevention of nature and prevention of childbed fever").childbed fever").

Page 28: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

HistoryHistory

The official author of modern antiseptics are distinguished English surgeon Joseph Lister. Owes which is that he suffered in the opening L.Pastera surgery. In 1867. Joseph Lister published a work entitled "A new method for treating fractures and ulcers with remarks on the causes festering."

Page 29: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Shaving surgical fieldShaving surgical field

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Technology taxation surgical Technology taxation surgical fieldfield

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Surface sterile surgical field film Surface sterile surgical field film (best method)(best method)

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Sterile zoneSterile zone

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Equipment for sterilization Equipment for sterilization Dry heat sterilizers cabinetsDry heat sterilizers cabinets

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AutoclaveAutoclave

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Gas sterilizationGas sterilization

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Cold sterilization and Cold sterilization and sterilization method of sterilization method of

boilingboiling

Page 38: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Flash sterilization system Flash sterilization system (chemical method)(chemical method)

Page 39: History of Surgery. Asepsis and antisepsis L.Yu.Ivashchuk

Technique processing of surgery Technique processing of surgery handhand

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Starts from the hygienic bath, shaving of Starts from the hygienic bath, shaving of hair. For the treatment of the operating field hair. For the treatment of the operating field they use iodonate, iodopiron, chlorhexidin they use iodonate, iodopiron, chlorhexidin before its usage, dissolving the initial solution before its usage, dissolving the initial solution in 4,5-5 times boiled or sterilized water. They in 4,5-5 times boiled or sterilized water. They use the other antiseptics for the treatment of use the other antiseptics for the treatment of the operating field 1% solution of degmycide, the operating field 1% solution of degmycide, 1% solution of roccal or catamine A-B, 2,4 % 1% solution of roccal or catamine A-B, 2,4 % solution of pervomur. For the disinfections of solution of pervomur. For the disinfections of the mucous membrane they use 1 % solution the mucous membrane they use 1 % solution of diamond green, 3 % solution of hydrogen of diamond green, 3 % solution of hydrogen peroxide, 1 % solution of iodonate or peroxide, 1 % solution of iodonate or iodopiron, 0,5 % spirits solution of hibitan iodopiron, 0,5 % spirits solution of hibitan

The preparation of the operating fieldThe preparation of the operating field