A dissertation on the inutility of the amputation of limbs

Johann Ulrich Bilguer

A Dissertation on the Inutility of the Amputation of Limbs is a seminal medical treatise authored by Johann Ulrich Bilguer, a prominent 18th-century Prussian military surgeon. First published in 1764 and later translated into English, this work challenges the prevailing surgical orthodoxy of the time, which advocated for the frequent amputation of limbs as a primary treatment for severe injuries, particularly those sustained in battle. Drawing upon his extensive experience in military hospitals and a careful analysis of case studies, Bilguer argues that amputation is often unnecessary and, in many cases, detrimental to patient outcomes. He meticulously examines the physiological consequences of limb removal, the risks of infection, and the psychological trauma endured by patients. Bilguer advocates for more conservative and restorative approaches, emphasizing the importance of preserving life and function whenever possible. His dissertation is both a critique of contemporary surgical practices and a compassionate appeal for the humane treatment of the wounded. The book is notable for its detailed observations, rational arguments, and its influence on the evolution of surgical techniques, marking a significant shift towards limb-sparing procedures in the history of medicine. Through its pages, readers gain insight into the ethical and practical considerations that shaped 18th-century surgery and the enduring quest to balance medical intervention with patient welfare.

Table of contents

• A DISSERTATION ON THE INUTILITY OF THE Amputation of Limbs.