title: Surgical Skills Beyond Scientific Management.
abstract: During the Great War, the French surgeon Alexis Carrel, in collaboration with the English chemist Henry Dakin, devised an antiseptic treatment for infected wounds. This paper focuses on Carrel's attempt to standardise knowledge of infected wounds and their treatment, and looks closely at the vision of surgical skill he espoused and its difference from those associated with the doctrines of scientific management. Examining contemporary claims that the Carrel-Dakin method increased rather than diminished demands on surgical work, this paper further shows how debates about antiseptic wound treatment opened up a critical space for considering the nature of skill as a vital dynamic in surgical innovation and practice.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Whitfield
mesh_terms: D000985:Antisepsis / Q000266:history*; D002983:Clinical Competence; D005060:Europe; D005602:France; D013502:General Surgery / Q000266:history* / Q000592:standards; D049673:History, 20th Century; D006801:Humans; D047828:World War I; D014946:Wound Infection / Q000266:history* / Q000628:therapy
keywords: Antisepsis; Deskilling; Scientific management; Standardisation; Surgery; The First World War