Medical Terminology Daily - Est. 2012

Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

You are welcome to submit questions and suggestions using our "Contact Us" form. The information on this blog follows the terms on our "Privacy and Security Statement" and cannot be construed as medical guidance or instructions for treatment.


We have 1845 guests online


A Moment in History

William S. Halsted, MD

William S. Halsted, MD
(1852 – 1922)

American anatomist, teacher, and surgeon, William Stewart Halsted was born in New York City, USA to a wealthy family of English origin. His father was involved in charitable work and Governor and trustee to a city hospital. Not a brilliant student initially, Halsted took an undergraduate in Liberal Arts in Yale, CT., after which he entered the Medical College of Physicians at the Columbia College, where he excelled.

As a second-year medical student Halsted applied and obtained a position in surgery at a local hospital. In here he learned about Lister’s antiseptic technique and became an adamant proponent of it to reduce infection. In 1877 Halsted obtained his MD. After a short time as House Physician at the New York Hospital, Halsted traveled to Europe to further his education studying for two years at the Universities of Vienna, Leipzig, and W?rzburg.

Besides being at the forefront of surgical and antiseptic techniques (introducing the use of rubber gloves in surgery), Halsted was extremely concerned with the way medical students were taught in the US. He pioneered bedside clinical round discussions with the medical students after two years of basic sciences studies. Halsted developed the idea of a patient chart; he also developed the residency program for medical students in use today.

Halsted is probably the most influential researcher and surgeon at the turn of the century. He dedicated time to the study of intestinal anastomoses and the use of silk as a suture material. His experimental work in 1887 proved that the inclusion of the submucosa layer in an anastomosis was mandatory, as well that a single layered anastomosis was enough to attain closure. Perhaps Halsted’s most important contribution was the application and use of the scientific method to surgical questions. Halsted’s principles, also known as  "Halsted's Rules of Surgery", set the standards used today in surgical suturing and surgical stapling.

He also pioneered the development and surgical techniques for radical mastectomy as a treatment for breast cancer.

As a side effect of this studied in anesthesia and the use of cocaine for anesthesia, Halsted became addicted to this substance, a problem that followed him through the years. Without impairing his capacity as a researcher and a surgeon, Halsted eventually recovered. He died in Baltimore in 1922 as a complication to surgery.

Sources:
1. Dubay, A. D., & Franz, G. M. (2003). Acute Wound Healing: The Biology of Acute Wound Failure. Surg Clin NA, 83, 463-481.
2. Halsted, W. S. (1887). Circular Suture of the Intestine - An Experimental Study. Am J Med Sci, 436-461.
3. “William Stewart Halsted: his life and contributions to surgery” Osborne, P. Lancet Oncol 2007; 8: 256–65
4. “William Stewart Halsted: Surgical pioneer” Burress, P Endoc Today (2010), 8: (2) 22
5. “William Stewart Halsted (1852–1922) Neurological stamp” Haas, LF J Neurol Neurosurg Psych 2000;69:641
Original image courtesy of "Images from the History of Medicine" at  www.nih.gov


 "Clinical Anatomy Associates, Inc., and the contributors of "Medical Terminology Daily" wish to thank all individuals who donate their bodies and tissues for the advancement of education and research”.

Click here for more information


bookplateink.com

 

 


Article by Dr. Sylviane Déderix, Pascale Pollier, and Theo Dirix


Dr. Sylviane Déderix
Sylviane Déderix. Ph.D.

From 4 until 8 September 2014, more than two hundred artists and scientists from more than 40 countries gathered on the Greek Island of Zakynthos to commemorate the quincentenary of the Flemish anatomist Andreas Vesalius who died on the island 450 years earlier. At this very moment when some start dreaming of a sequel of our Vesalius Continuum Conference, we continue to dream of the sequel of our search for his lost grave. The triennial of 2017 will be an ideal occasion to present a second phase in our search, on condition that the plan we are developing here succeeds.

The initial phase of the search for the Vesalius’s grave, started and presented in 2014, was based on recent re-examinations of historical sources that contest the traditional view that Vesalius was buried at Laganas. Research by the Flemish historians Omer Steeno, Maurits Biesbrouck, Theodoor Goddeeris and the local historical blogger Pavlos Plessas indeed suggest that the quest for his grave should rather focus on the town of Zakynthos, and more specifically on the courtyard of the church of Santa Maria delle Grazie.

Pascale Pollier
Pascale Pollier

Unfortunately, the small church was destroyed along with most of the buildings in Zakynthos during the major earthquake that struck the Ionian Islands in 1953. Its ruins were then buried when the town was reconstructed, and its exact location was soon forgotten. Material evidence, local informants and cartographic data nevertheless point in the same direction: the church of Santa Maria delle Grazie would have been located in the northern sector of the modern town, around the current junction of Kolokotroni and Kolyva streets.

In order to assess the validity of this hypothesis, we called on the services of Geographic Information Systems (abbreviated GIS). GIS are computer-based tools used for the management, analysis, and display of geographically referenced information. Within the framework of the quest for Vesalius’ lost grave, they were used to overlay historical maps on modern cartographic data. The procedure, which is named geo-referencing, allows registering individual maps in a common geographic space so as to define their position in the real world. In the present case, the goal was to geo-reference a town map dated to 1892 and on which the church can be identified. See the accompanying photograph of the church.

Theo Dirix
Theo Dirix

However, since the coastline and the town plan drastically changed after the earthquake, it was not possible to overlay the particular map directly onto modern satellite images: intermediary steps were necessary. The methodology consisted therefore in travelling back in time and geo-referencing three available maps from the most recent to the oldest. The result of the process confirmed that the ruins of the Santa Maria delle Grazie are to be found to the northwest of the intersection of the current Kolyva and Kolokotroni streets. The road that ran in front of the church in the late 19th and early 20th century followed a different orientation than Kolyva street, with the consequence that the church lies partly below the street and partly below private properties.

This small GIS project represents only a first phase in the quest for Vesalius’ grave. Phase 2 would be to conduct a geophysical prospection at the Kolyva/Kolokotroni intersection. By making use of non-destructive geophysical methods, we could get an idea of what is still lying under the modern surface, and at which depth. This would provide a fast and high resolution understanding of the area. In an urban environment, two techniques can be used: Ground Penetrating radar and Electrical Resistivity Tomography, which measure the propagation of electromagnetic waves and of the electrical current in the ground, respectively. If the geophysical results were conclusive, the possibility of small-scale excavations (Phase 3) could be considered.

Original photograph of the Church of Santa Maria delle Grazie in Zakynthos, Greece
Click for a larger image

The GIS was sponsored by Agfa HealthCare, the Greek subsidiary of the Belgian Agfa Gevaert Group, the Belgian University of Antwerp, and Theo Dirix. For the consequent phases, Pascale Pollier offers to sell five original wax models of her facial reconstruction of Andreas Vesalius. This inversed reconstruction of Vesalius’s skull, based on his portrait, will have to suffice until we find his skull, allowing her to reconstruct his real face. Vesalius Continuum, initially the conference where we launched the search of Vesalius’s grave, has evolved in a programme to which you can contribute.

Personal note: My sincere thanks to Dr. Déderix, Pascale Pollier, and Theo Dirix for contributing this article to "Medical Terminology Daily" and the quest to find and study Andreas Vesalius' grave. I am proud to have been one of the many international attendees to the 2014 meeting in the island of Zakynthos. Dr. Miranda.