2000, Number 4
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ABSTRACTObjective: To inform on the historical antecedents of small bowel trauma.
Setting: Second level health care hospital.
Methodology: A historical study was performed, analyzing 11 references that describe the first historical events in the identification of small bowel traumatic injuries.
Results: The first antecedent on small bowel lesions is found in the “Surgical Papyrus of Smith”. References are then made to the findings of Aristoteles and Hippocrates in regard to blunt and penetrating traumas, respectively. The first attempt to repair such a lesion is attributed to De Salicet, an Italian surgeon, in 1720; Sacherus was the first to accomplish it successfully in the XVI century. In the XIX century, two trends developed, one formed by the interventionists, who performed celiotomies to treat these lesions and that of the abstentionists, who were opposed to any surgical maneuver to treat these lesions. In 1904, a surgeon named Bedroitz achieves excellent results by treating wounded in the battlefields. By the time of World War One, the surgical treatment of bowel lesions is more liberally used. Although its use reduced somewhat the mortality rate, it was not until World War Two that it became successful in reducing considerably the death rate.
Conclusion: It is relevant to know the historical antecedents of small bowel injury treatment to understand better the evolution of the diagnostic and therapeutic methods used to treat them.
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