Synopsis
The First Lines Of The Theory And Practice Of Surgery: Including The Principle Operations by Samuel Cooper is a comprehensive 19th-century surgical treatise in which inflammation is positioned as the central concept in pathology and operative care. The text combines theory, diagnosis, and stepwise treatment, drawing on authorities such as John Hunter, Carswell, Macartney, Hall, and Willard Parker (editorial notes). It surveys inflammation's universality and variability, its vascular mechanisms, and its forms across tissues (serous, mucous, fibrous), along with common consequences like adhesion, exudation, edema, swelling, pain, and the formation of pseudo-membranes. An antiphlogistic program governs practice: remove the exciting cause and reduce the inflamed part's blood supply, chiefly via bloodletting, purgatives, mercurials, opium, counter-irritation, and cautious topical measures; complemented by rest, diet, and regulated environments. The volume also treats suppuration and abscess formation, hectic fever, mortification, and broader wound management, including hemorrhage control, ligatures, cautery, drainage, and staged healing. Set against mid-19th-century clinical observation, it reflects a regimen-based, anatomy- and pathology-informed approach to surgery.
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