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August 19, 1983

Principles of Surgical Technique: The Art of Surgery

Author Affiliations

Massachusetts General Hospital Harvard Medical School Boston

JAMA. 1983;250(7):970-971. doi:10.1001/jama.1983.03340070070038

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As most surgeons would agree, the acquisition of surgical skills is a subtle process based largely on actual performance of the manual tasks in the operating room itself. Good surgical technique is, however, based on certain general principles and fundamentals. While difficult to teach and communicate, particularly in written form, appreciation and understanding of basic concepts relating to asepsis, tissue handling, hemostasis, and exposure should contribute to the mastery of surgical technique.

It is the authors' purpose to bridge the gap between "knowing" and "doing" by presentation of a logical and unified set of basic principles of technique not found in either standard surgical textbooks or surgical atlases. Throughout this book, they stress to new surgeons the overriding principle of "do no harm."

The book is divided into two parts; the first outlines broad fundamental principles and includes a brief historical perspective and concise description of the key aspects of