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Health and the People in Britain, c1000 to the Present Day

The impact of war and technology on surgery

  • 3 things to know
  • Paper 2 section A

Overview

Harold Gillies and the tubed pedicle, Archibald McIndoe and the Guinea Pig Club, blood groups, stored blood and the national transfusion service, X-rays at the front, the first kidney and heart transplants and the problem of rejection, and modern keyhole, laser and radiation techniques.

What you need to know

Answer each one before you reveal it.

Your recallNot started
Who and when

What did Archibald McIndoe do in the Second World War?

Key term

What discovery in 1901 made transfusion safe?

Numbers

Who discovered X-rays, and how were they used in wartime?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    Who was Harold Gillies, and what did he do?

    Model answer

    A surgeon who set up a unit for facial injuries in the First World War and rebuilt the faces of thousands of wounded men, opening a hospital at Sidcup in 1917.

  2. 2

    What was the tubed pedicle?

    Model answer

    A flap of skin left joined at one end and rolled into a tube so that it kept its own blood supply while being moved, which made grafts far more likely to take.

  3. 3

    What did Archibald McIndoe do in the Second World War?

    Model answer

    He rebuilt the faces and hands of badly burned airmen at East Grinstead, and treated the recovery of their confidence and social life as part of the treatment.

  4. 4

    Who were the Guinea Pig Club?

    Model answer

    The burned aircrew treated by McIndoe, who gave themselves the name because so many of the operations they underwent were being tried for the first time.

  5. 5

    What discovery in 1901 made transfusion safe?

    Model answer

    Landsteiner's identification of the blood groups, which explained why some transfusions killed the patient and allowed donor and recipient to be matched.

  6. 6

    How did the First World War make stored blood possible?

    Model answer

    Adding sodium citrate stopped the blood clotting and chilling it kept it usable, so it could be collected in advance and held at depots close to the fighting.

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