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.

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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 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


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In the shadow of Vesalius cover
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This is a new, as yet unpublished, book authored by several of my good friends who with me follow Vesaliana all over the world. There are too many of my friends to count, but I highly recommend this book. Dr. Miranda

In this richly illustrated book, a multitude of academic scholars present new findings concerning Andreas Vesalius Bruxellensis  and his contemporaries. One of those discoveries includes a preparatory sketch by Jan Steven van Calcar for a drawing in Vesalius’ famous ‘Fabrica’, called ‘The Philosopher’.

Included are authentic letters, written by Vesalius to his friends Benedetto Varchi and Octavo Landi, are presented and translated for the first time and are thoroughly discussed, shedding new light on crucial periods of Vesalius’ life like his leave from academic Padua, exchanged  for imperial service to Charles V, or his contribution in the treatment of Philips II’s son, crown prince Carlos in Spain.

Anatomical novelties, discovered by Vesalius’ friends and contemporaries, are equally broadly exposed, like Canani’s input in human arm musculature or Valverde’s ‘corrections’ of Vesalius’ Epitome. Valverde’s publication became one of the greatest ‘bestsellers’ in anatomy during the 16th and 17th century, thereby spreading the ‘Vesalian Revolution’ all over Europe.  But also, the relationship between Vesalius and his Paduan room mate John Kay or Caius is explicated, as are a number of family descendants of Vesalius.

That Vesalius influenced artists in anatomical models and drawings is newly acknowledged in this book, as well as his influence on veterinary medicine.

In short, an inspiring new account of Vesalius’ extraordinary long-term influence on anatomy, science and art in general. One interesting point is that until now, many of the series of articles that composes the book where only available in Greek!

Jacqueline Vons (Emer. Professor of Latin and Medical History, University of Tours, France) comments "Centered around the figure of Andreas Vesalius (1514-1564), this book ‘In the Shadow of Vesalius’ offers a vast panorama of the anatomical knowledge in Europe during early Modern times.

Pascale Pollier
Pascale Pollier-Green

Some new documents and private letters have been discovered and are finely analyzed, as are anatomical books written by contemporaries and successors of Vesalius. The studies gathered here show how the text and iconography’s diffusion of De Humani Corporis Fabrica and Epitome made Vesalius the first modern medical authority (auctoritas): his work was quoted, copied, discussed by all those who were interested in the anatomy of the human body."

Click here to download a PDF file with a description of the book, the Table of Contents, and the information to pre-order this book which will be launched on November 14, 2020. To order a book at a pre-launch discounted price, you can go directly to the publisher's website (http://garant.be/shadow-of-vesalius/).

Pascale recently wrote an article looking back at how this book came to be. Here is the story of "The Long Road to the book "In the Shadow of Vesalius"