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HISTORY OF

PLASTIC SURGERY

THE EARLY YEARS


The oldest text: Ebers papyrus
(3.500 B.C.)
Egypcians: Edwin Smiths papyrus
(2.200 B.C.)
Ancient India: Rig-Veda (1.500 B.C.)
and Atrarva-Veda. Shusruta

750 B.C.

50 A.C

The history of plastic surgery moved


very slowly for thousands of years
until Celsus!!

GREECE AND ROME


CELSUS

( 25 B.C 50 A.C)

THE
He translated
TRUE hindu,
arabian and egypcians
FATHER
OF
texts.

PLASTIC
!!!
SURGERY
Published De
Re
Medica

GREECE AND ROME


HIPPOCRATES

(460 370

B.C.)

The most important


figure in anatomy and
medicine in ancient
greece.
Corpus Hippocraticus

GREECE AND ROME


GALEN (130-200.C.)
Anatomical dissection of
the hand
Repairing surgery of
face and nose with
proximity skin flaps.

ARABIANS MEDICINE
Avanced until 750-850 A.C. when
Coran forbade bloodily procedures.
AVERROAS and AVICENA were the
driving force of medicine and surgery.
There arent books from this time.

THE MIDDLE AGE


The interest in anatomy and surgery
declined in western world. DARK
AGES in Europe.
Some studies about healing and
antiseptic elements.

RENAISSANCE

Andrea VESALIUS
(1514-1564):
Humanis Corporis
Fabrica
Antomical studies
on animals and
human cadavers.

RENAISSANCE
Leprosy and syphilis multiplied:
Reconstructive surgery of facial
deformity.
Brancas family

Gasparo TAGLIACOZZI
(1546-1599)

RENAISSANCE
Gasparo TAGLIACOZZI
De Curtorum Chirurgia per Incitionem

(1597)
SECOND
FATHER OF
Nose, ear and lips reconstruction
PLASTIC SURGERY !!

1800s 1900s
The driving force behind most plastic
surgery developments was WAR
Improvement of anesthesia, sterile
techniques and antibiotics.
Examples:

Chopart: operative procedure of the lip using a


flap of the neck
Von langenbeck: treatment of cleft palate
Sir Astly Cooper: first skin graft
Von Graefe: free skin graft from the arm.(a
modification of the italian method)

1800s 1900s
SABATTINI (1810 1864)
First flap made for specific provision from a
recognized vascular supply

WORLD WAR I
Pivotal point for acknowledgment of plastic
surgery as a speciality.
WWI provided physicians with lots of severe
facial wounds and burns

Outstanding surgeons like Sir Harold


GILLIES, MORESTIN and V.H. KAZANJIAN.

WORLD WAR I
GILLIES (1882-1960)
Popularized the tubed flap
Tubed flap became a
standard method for
reconstruction.

WORLD WAR I
MORESTIN (1869 1918)
Recommended multiple Z-Plasties to correct all
types of contracted linear scars.

KAZANJIAN (1897-1968)
Observed vessels from a single pedicle were
suficient to feed the entire vascular flap.

WORLD WAR II
Plastic surgery enlarged
Started publication of Plastic and
Reconstructive surgery (USA) and British
Journal of Plastic Surgery
In Spain made stand out Hysern and
Argumosa who developed original
techniques of tissue transplant.

DEVELOPMENT in SPAIN
Great advances during Civil War (19361939)
First Plastic Surgery Service: Hospital
General Mola in San Sebastian.
In 1955 plastic surgery is recognized as a
surgical speciality.
1956 foundation of Sociedad Espaola de
Ciruga Plstica
In 1986 started to publish the Revista
Espaola de Ciruga Plstica afterwards
placed under Ciruga Plstica IberoLatinoamericana

NOWADAYS
Advent of vascular microsurgery and the
free flaps.

COBETT at Queen Victoria Hospital (1969)


reconstructed a thumb by transfering the
pacients big toe using microsurgical
techniques.

FREE FLAP WAS BORN !!

NOWADAYS
HARII (1974)
First free flap temporal superficial vessels to
resolve a problem of alopecia.

TAYLOR (1974)
Free groin flap.
Transfered to the leg to repair a compound
injury.

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