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Report of the Historian

Report of the Historian. Andreas Gohritz. FESSH Council Meeting June 29th, 2013, Antalya. Dupuytren meeting, Paris, June 2012. Baron Guillaume Dupuytren (*1777 +1835) – a special historical personality. Andreas Gohritz Medizinische Hochschule Hannover.

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Report of the Historian

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  1. Report of the Historian Andreas Gohritz FESSH Council Meeting June 29th, 2013, Antalya

  2. Dupuytren meeting, Paris, June 2012

  3. Baron GuillaumeDupuytren (*1777 +1835) –a special historical personality Andreas Gohritz Medizinische Hochschule Hannover

  4. Nikolaus Rüdinger (1832-1896) –from apprentice barber to anatomy professor and his description of joint innervation in 1857 Andreas Gohritz DAM Meeting, Vienna 2011, FESSH 2012 Invited publication in Plast Chir, Dec 2011 Submitted paper, J Rec Microsurg 2012

  5. From First Description of Joint Innervation 1857 until Modern Surgical Joint Denervation 2 overview articles for surgical colleagues - Plast Chir (German Plastic Surgery Society Journal), 2012 - Chir Allgemeine (Surgical General Journal), 2012

  6. L‘effetto di malattie della mano sulla vita e sul lavoro di famosi musicista e artistaAndreas GohritzHannover, Germania

  7. Prof. G. Zanchin President of the International Society of History of Medicine

  8. 50 Euro fee per year only Free Journal for 2 years

  9. Marie Philibert Constant SAPPEY(1810-1896) – His lymphatic system anatomical research as basis for our new surgical therapies Andreas Gohritz German Plastic, Aesthetic, Reconstructive Surgery Congress, September 2012

  10. Sappey`s studies • 1843, 1847, 1874-75 • Drainage of extremities and organs (e.g. breast) • Unique drawings / engravings

  11. Sappey`s heritage Superficial lymph drainage of trunk divided by (Sappey) lines into 4 territories Every region drains into axillary / inguinal lymph nodes  Basis for tumor operations

  12. From War Wound toFacelift –Request for Aesthetics in the Human Body Andreas Gohritz Invited Presentation Stade, January 2013

  13. Nerve and Tendon Transfers –Historical Evolution and Modern Concepts Andreas Gohritz Invited Presentation Schwerin, Germany April 2013

  14. History of Peripheral Nerve Surgery in EuropeInstructional CourseFESSH 2013 • Chapter with Lee Dellon • Chairman: L. Dahlin, Sweden

  15. Adolf Stoffel (1880-1937) – Pioneer of Peripheral Nerve Fascicular Anatomy, Selective Neurotomy and Nerve Transfers Andreas Gohritz, Lee Dellon* Basel, Switzerland, Baltimore, USA*

  16. Adolf Stoffel – Scientific Work Anatomist / Surgeon, Heidelberg University Nerve cross-sectional studies since 1909: • “Nerves are unlike tendons.“ – consist of Nervenbahn = nerve railways • Specific motor / sensory fiber distribution = Topographie → “Stoffel operation“ (1911) (= selective neurotomy in spastic extremities )

  17. Wrist Extension Reconstruction by Brachioradialis-to-ECRB Wrist extension-driven kex grip in 66-y-old patient (IC group 1) 47 years after spinal cord injury

  18. Orthopaedic Operations • Co-authored by Stoffel with his mentor Oscar Vulpius (1867-1936 ) • 3 editions (1913, 1920, 1924) • Numerous innovative orthopaedic techniques, especially for paralyzed patients

  19. Radial-to-Axillary Fascicular Nerve Transfer (before 1910)

  20. Stoffel`s Approach • Intraoperative electrical nerve stimulation → Safe identification of dispensible donor fascicles at level of recipient nerve damage or below

  21. Needle Electrode / Testing Apparatus

  22. Conclusions Stoffel´s example shows • Surgical progress always needs anatomy study. • Development frequently by persistent work against mainstream thinking. • Careful revisiting our ancestors`work may reveal old ideas that were never disproved, but only forgotten and my be worthy of being “re-thought” in new context / audience today.

  23. Brachial Plexus Lesion of Emperor Wilhelm II.`s Left Arm Cooperation St. Andrew`s University, Scotland “The Imperfect Child“ Project

  24. Thank you for your kind attention !

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