A dissertation on the inutility of the amputation of limbs by Johann Ulrich Bilguer

"A Dissertation on the Inutility of the Amputation of Limbs" by Johann Ulrich Bilguer is a scientific publication written in the mid-18th century. The text provides a thorough examination of the necessity and implications of limb amputation in surgical practices, particularly in military medicine during wartime. The author argues against the commonality of amputating injured limbs, positioning that many cases previously thought requiring amputation can actually be treated successfully without resorting to this extreme measure. The opening of this dissertation sets the stage by establishing Bilguer's intent to refute the long-standing practice of amputation as a solution for gunshot wounds and other traumas. He reflects on his battlefield experiences, noting that numerous patients whom the medical professionals deemed in need of amputation ultimately healed without it. Bilguer aims to enlighten his peers by sharing evidence and personal accounts to promote less detrimental surgical strategies, emphasizing compassion and the patient’s quality of life over traditional but barbaric methods. The translation of this work aims to propagate his "beneficent design," advocating for the humane treatment of wounded soldiers.