1. An Overview
2. Semantic Features
3. Facts and Myths of Primitive Trepanations
4. Techniques and Tools for Primitive Trepanations
5. The Question of Survival in Primitive Trepanations
6. Historical and Geographical Areas of Primitive Trepanations
7. The First Documented Reports of the Surgical Trepanations Appear in the Corpus Hippocraticum: Greco-Roman Trepanations
8. Greco-Roman Surgical Instruments for Trepanation
9. Greco-Roman Surgical Techniques and Indications of Trepanation
10. Cranial Trepanation During the Middle Ages
11. Surgical Instruments for Trepanation and Trephine in Modern Age
12. ‘State of the Art’ of the Trepanation During the Sixteenth and Seventeenth Centuries
13. Relevant French, Italian and Spanish Surgeons in Trepanation over the Sixteenth and Seventeenth Centuries
14. Other Relevant European Surgeons in Trepanation over the Sixteenth and Seventeenth Centuries
15. Trepanation out of Europe: New World and Japan
16. Trepanation During the Eighteenth Century: To Trepan or not to Trepan
17. Trepanation During the Nineteenth Century
18. Trepanation at War Times: Napoleonic Wars and North American Civil War
19. The Question of the High Mortality of Trepanation and Trephine
20. Evolution of the Surgical Technique of the Trepanation and Trephine in Modern Age
21. Evolution of the Surgical Instruments for Trepanation and Trephine in Modern Age
22. Evolution of the Indications for Trepanation and Trephine in Modern Age
23. ‘State of the Art’ of the Cranial Opening in the Second Half of the Nineteenth Century
24. Trepanation and Trephine in Modern Age: Illustrative Cases
25. Wilhelm Wagner’s (1848–1900) Temporary Cranial Resection and Its Initial Improvements
26. Surgeons Between the Old Trepanation and the New Craniotomy
27. Eugène Louis Doyen (1859–1916), an Innovative French Surgeon and Enthusiastic on the Craniotomy
28. Surgical Instruments for Craniotomy and the Success of the Humble Gigli’s Saw
29. Initial Development: Manual Osteoplastic Craniotomy
30. Late Development: Powered Osteoplastic Craniotomy
31. Evolution of Indications of Craniotomy
32. Craniotomy at War Times. World War I and World War II
33. Craniotomy: Illustrative Cases
34. ‘State of the Art’ of the Craniotomy in the Early Twenty-First Century and Future Development
This book takes readers on a journey around the world and through time, accompanied by a modern neurosurgeon who reviews historical techniques and instruments used for cranial opening. The author draws on original medical and surgical books to provide a comprehensive history of these techniques and tools.
To complement the general overview and offer readers a more ‘hands-on’ sense of context and atmosphere, extensive historical references, stories, media news and illustrative cases have been included for each historical and geographical scenario. In addition, original illustrations and plates of these archaic instruments and techniques are supplied.
Neurosurgical surgeons, nurses, technicians, medical historiographers, paleo-pathologists and researchers interested in surgical techniques for cranial opening will find the volume a valuable guide, intended to increase the historical and cultural awareness of this core topic in neurological surgery.
• Includes a dedicated chapter on trepanation in the classic Mediterranean cultures and medieval Europe
• Traces the development of cranial opening techniques and instruments throughout Europe and abroad until the end of the 19th century
• Presents the origin and development of modern techniques for opening the skull
Dr. Darder received his medical degree in Medicine and Surgery from the Medical School of the Literary University ofValencia in 1977 and completed his training as neurosurgeon in the Hospital Clínico Universitario de Valencia in 1982.
He held the highest honors in the M.D. and Ph.D. degree exams and was admitted as Membership of the Academy of Medicine ofValencia. From 1982 to 1992, he held a position as Neurosurgeon and Professor of Neurosurgery in the Hospital and MedicalSchool of Medicine of the University of Cádiz. He was director of the Investigation Group 3080 of the Junta de Andalucía, Vice-Deanof the Medical School and Head of the Central Service of Investigation of the University of Cádiz.
In 1992 moved to Castellón as Head of the Department of Neurosurgery of the Hospital General de Castellón. Since 2007, Dr. González-Darder has headed the Department of Neurosurgery at the Hospital Clínico Universitario of Valencia and served as an Associate Professor of Neurosurgery at the Department of Surgery, University of Valencia.
He is author and coauthor of more than 100 peer-reviewed papers and three books, he was accredited as Chairman in the Health Science Area by the Ministry of Education of the Spanish Government in 2013.