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May 3, 1919, Vol 72, No. 18 >

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ARTICLE | May 3, 1919

THE VALUE OF BIOLOGIC PRINCIPLES IN SURGICAL PRACTICE

J. SHELTON HORSLEY, M.D.
JAMA. 1919;72(18):1263-1266. doi:10.1001/jama.1919.02610180001001.
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It cannot be too often emphasized that surgery should be more a science than an art. A surgeon who is a dexterous operator and who skilfully amputates a leg that with patience and scientific application could be saved is merely a good artisan, and is distinctly inferior to the surgeon who could save the leg even though he should be a bungling operator. The ideal is to be thoroughly imbued with the principles of the biologic sciences, thoughtfully to apply these principles, and at the same time to be mechanically skilful.

The science of anatomy is essential to the mechanics of surgery. He would be a poor locomotive mechanic who did not understand the construction of his engine; and in operations on the neck, for instance, a surgeon who is ignorant of anatomy would be like the proverbial bull in a china shop. A knowledge of anatomy is essential to

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BMJ 2010;341:c5893-c1494.
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