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Report of the Historian

Report of the Historian. Andreas Gohritz. FESSH Council Meeting June 3rd, 2009, Posznan. Histories of national societies of surgery of the hand. New contributions: Spain (Marc Garcia-Elias) Poland (  Congress 2009) Russia (Igor Goloubev) 4. Turkey (Ayan Gülgönen).

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Report of the Historian

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  1. Report of the Historian Andreas Gohritz FESSH Council Meeting June 3rd, 2009, Posznan

  2. Histories of national societiesof surgery of the hand • New contributions: • Spain (Marc Garcia-Elias) • Poland ( Congress 2009) • Russia (Igor Goloubev) • 4. Turkey (Ayan Gülgönen)

  3. Linked Web-site on History of Hand Surgery Journals (Pubmed, Science direct): • Biographies / Orbituaries • Procedures / Techniques • Associations / Meetings

  4. Ernst Weber „Über den Tastsinn“ (About the sense of touch), 1834 Weber test = Two-point-discrimination Lee A. Dellon

  5. Igino Tansini‘s description ofthe latissimus dorsi flap and his merits for modern flap surgery Sopra il mio nuovoprocesso di ampu-tazione della mamella.Gazzetta Medica Italiana (1906) 12: 757

  6. Principles of Tansini‘s new method • Axial vascular pedicle of flap • Integrity of muscle-skin-unit • Importance of perforators = Fundament of all modern flap techniques, including perforator flaps

  7. Jan F. S. Esser (*1877 +1946) -A man of many talents • Chess master (Dutch champion 1913) • Art collector (collection of > 880 paintings) • Stock exchange speculator (> 200 houses in Berlin) • Universal surgical genius

  8. Surgical innovator 1915 -1925 > 10 000 Reconstructive operations of the whole body: (Face, hand, breast, bladder, anus… • Bilobed flap / Cheek rotation 1918 • Epithelial Inlay 1919 • Osteocutaneous flaps • Biological flaps (1931) Pedicle only with vessel and nerve “Integrity of the vessel-nerve string“ = Precursor of perforator flaps

  9. Innovative hand surgeon: Multiple toe-midfoot-to-hand transfer

  10. Pedicled transfer and cast immobilisation over 4 weeks(Patient fell out of bed the 1st night)

  11. Postoperative Result • Esser JFS. Ersatz der Mittelhand nebst 4 Fingern. Brun‘s Beitr Klein Chir 108: 244 (1917) • Esser JFS, Ranschburg P: Reconstruction of the hand and 4 fingers by the middle part of the foot and 4 toes. Ann Surg 111: 655 (1940) 23-year-follow-up with excellent result (1940)

  12. Esser‘s great dream „Free state of Reconstructive Surgery“ • Objective: - Neutral, independant territor (island) • Plastic surgical treatment, totally free of charge • → No success in Europe until 1939 • 1940: Emigration to USA, • Return to Europa impossible • Loss of fortune at the Wall Street, • Complete poverty, • 1946: Death in Chicago

  13. Curt Schimmelbusch (*1860 +1895)Surgeon, pathologist • White hospital clothes • Sterile o.r. coats / coverages • Steam-sterilized instruments • Sterile mask (used until WW2)

  14. Schimmelbusch‘s flap (1892) • Axial osteo-cutaneous temporo-parietal flap to reconstruct the cheek Total nosereconstruction

  15. Sudden death in 1895 Aged only 34 years due to unclear cause - but most probably sepsis after infection during experiments Schimmelbusch‘s letter describing his illness

  16. On the potential influence of one-handedness on politics and philosophy of the 20th century accepted J Hand Surg A 2009 (Letter) Ludwig (philosopher), Paul Wittgenstein (pianist) Wilhelm II (left Erbs palsy) „An English-man has crippled my arm“ “1. If you do know there is a hand, we'll grant you all the rest. 2. From its seeming to me, or to anyone, to be so, it doesn't follow that it is so.” (On Certainty, 1951)

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