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Advances in medical knowledge – WJECAmbroise Paré

Medical knowledge has progressed over time and has led to advances in the treatment of illness and disease. How much progress has been made in medical knowledge over the centuries?

Part of HistoryChanges in health and medicine, c.1340 to the present day

Ambroise Paré

Cross section of a hand made of mechanisms instead of nerves and muscles. Figure from the medical and surgical essay by Ambroise Paré printed in Paris in 1551
Figure caption,
As well as changing surgery Paré also developed artificial limbs and artificial eyes for injured soldiers. He was respected for his kindness as much as for his skill as a surgeon

Paré changed ideas about surgery. Before Paré, wounds were treated by pouring boiling oil into them. To stop the bleeding they were cauterized, ie sealed with a red-hot iron.

Paré began his career as an apprentice to his brother, a barber surgeon. In 1536, he became a surgeon in the French army, where he worked for 20 years. During this time he developed his ideas about surgery.

During one battle, supplies of cautery oil ran out. Instead, Paré used an ointment of egg yolk, oil of roses and turpentine which had been used in Roman times. He found that the wounds treated with this mixture healed better than those treated with boiling oil.

During amputations, instead of cauterizing, he used ligatures, ie silk threads to tie blood vessels. Unfortunately, ligatures did not reduce the death rate. Dirty surgeons' hands and contaminated ligatures caused infections in the wounds being treated.

In 1575, he published his book The Collected Works of Ambroise Paré (Les Oeuvres d'Ambroise Paré) which proposed changes to the way surgeons treated wounds and amputations.