'A Procedure Without a Problem', or the face transplant that didn't happen. The Royal Free, the Royal College of Surgeons and the challenge of surgical firsts.
'A Procedure Without a Problem', or the face transplant that didn't happen. The Royal Free, the Royal College of Surgeons and the challenge of surgical firsts.
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DOI：
10.1136/medhum-2020-012106
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发表时间：
2022-09
影响因子：
1.2
通讯作者：
中科院分区：
文献类型：
--
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面部移植是一种创新和不寻常的现代手术形式。到目前为止，全世界已经有47例面部移植手术，但英国还没有一例。然而，在2003年，英国准备进行世界上第一次面部移植手术。它没有发生的原因并不简单，但历史学家基本上没有探索。皇家外科医学院担心媒体对面部移植的关注以及所涉及的伦理和手术问题，召开了一个工作组，并得出结论，它不能批准面部移植，有效地阻止了英国在该领域的势头。医学史上的这一非凡事件在塑造英国外科史的过程中产生了影响。本文探讨和解释了在英国缺乏面部移植，并提请注意所涉及的复杂的情感，制度和国际问题。其研究结果的意义超出了面部移植的主题，进入了手术创新发生的文化背景和实践。
Face transplants are an innovative and unusual form of modern surgery. There have been 47 face transplants around the world to date, but none as yet in the UK. Yet in 2003, the UK was poised to undertake the first face transplant in the world. The reasons why it didn't take place are not straightforward, but largely unexplored by historians. The Royal College of Surgeons, concerned about the media attention given to face transplants and the ethical and surgical issues involved, held a working party and concluded that it could not give approval for face transplants, effectively bringing to a halt the UK’s momentum in the field. This extraordinary episode in medical history has been anecdotally influential in shaping the course of British surgical history. This article explores and explains the lack of a face transplant in the UK and draws attention to the complex emotional, institutional and international issues involved. Its findings have implications beyond the theme of face transplants, into the cultural contexts and practices in which surgical innovation takes place.