Surgery

Tweezer, hemostatic by BERGMANN

Already CELSUS knew the vascular ligation around 35 AD - when his work was forgotten, the technique of ligature was lost. Only Ambroise PARE (1510-1590) took up the method of artery ligation in 1552 again.

- "Pinces d'AMUSSAT munies d'un cursur pour les tenir fermées" in the "Aide-Mémoire de l'opérateur" of ISNARD 1849 p. 6). Jean-Zuléma AMUSSAT (1796-1856) described in 1829 the torsion of the vessels as a suitable haemostatic method (Archives générales de médecine, Paris, 1829, 20: 606-610). Quickly took over in Germany, the technology:

- the tweezers used by Johann Carl Georg FRICKE (1790-1841), the father of clinical surgery in Germany, did not yet have teeth. It served the torsion of the vessel, not the ligature:
"The most conspicuous of all actions I have been that Fricke for several years, no longer made any ligature in the frequently occurring and amputations to be made in the vessel injury, but only under all circumstances, the torsion and indeed always wants to have made happy [... ] His tweezers seems to me to be quite appropriate and the sure manner of execution depends only on this "(Christian Heinrich Bünger, letter to Benedict Stilling, 1834).

Who had finally invented the tweezers, the German FRICKE or the Frenchman AMUSSAT, everyone wants to have been! The tweezers were later modified again and again (negligible).

- Ernst v. BERGMANN (1836-1907) added teeth to better grasp the vessels. Around 1880, b. BERGMANN plans to sterilize the surgical instruments ... In 1886 he left the chemical antisepsis, together with his Berlin student Curt Schimmelbusch, to apply steam-sterilized dressing materials.

Presented is a serrated arterial tethering forceps (engl., Artery-forceps), purchased at a street market in Arlon June 2007. N ° 32