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This book is a tribute to Dr Joan Chapple CNZM FRACS, who qualified as New Zealand's first formally trained female plastic surgeon in the late 1950s and practised as a plastic and hand surgeon in Auckland, New Zealand for over 38 years. She was selected for surgical training by the late Sir William Manchester, who started the Middlemore Plastic Surgery Unit in December 1950.
Joan was an original thinker and a pioneer in the fields of wound care and healing in her own right. She self-published “The Management of Soft Tissue Injuries: Philosophy, Principles and Practice” in 1994, followed by her definitive “Wound Care and Healing: The Physiological Challenge” in 2003.
Dr Chapple developed principles of a practical physiological approach to acute wounds that not only benefited their recovery and healing, but also demonstrably reduced the post-operative pain in her patients. She practised and taught these principles at her Soft Tissue Trauma Clinics, based at the Emergency Department of the then Auckland Public Hospital. She also lectured widely to nurses, medical students, general practitioners and surgeons.
Joan Chapple’s primary hypotheses were: 1. Injury initiates a series of coordinated living responses. 2. Living cells need to be nurtured in a moist and non-toxic environment. 3. The speed and quality of recovery and repair after injury depends on the circulation. 4. The body recovers and heals with or without treatment, but never without circulation.
This republication of “Chapple's Wound Care and Healing” comes with a modern orientation and includes expert commentaries, many of which confirm that Dr Chapple’s thinking, knowledge and surgical principles were ahead of their time. In addition, it contains a new chapter explaining her extraordinary life and career for a world readership.
Joan Chapple remains an important virtual mentor to future generations of surgeons, nurses, emergency specialists and general practitioners.
Front Matter
Pages i-xxiii
Who Was Joan Chapple?
Peter Charlesworth, Michael F. Klaassen
Pages 1-5
Summary of Chapple’s Principles for Wound Care and Healing
Peter Charlesworth, Michael F. Klaassen
Pages 7-8
The Healing Process
Peter Charlesworth, Michael F. Klaassen
Pages 9-13
Circulation
Peter Charlesworth, Michael F. Klaassen
Pages 15-23
Avoidance of Complications (Haematoma, Pain, and Infection)
Peter Charlesworth, Michael F. Klaassen
Pages 25-43
First-Aid, Assessment, and Treatment of Acute Wounds
Peter Charlesworth, Michael F. Klaassen
Pages 45-54
Cleansing
Peter Charlesworth, Michael F. Klaassen
Pages 55-57
Local Anaesthesia
Peter Charlesworth, Michael F. Klaassen
Pages 59-63
Suturing Versus Non-suturing Methods
Peter Charlesworth, Michael F. Klaassen
Pages 65-85
Flaps and Grafts
Peter Charlesworth, Michael F. Klaassen
Pages 87-98
Dressings and Rehabilitation
Peter Charlesworth, Michael F. Klaassen
Pages 99-121
Hand Injuries
Peter Charlesworth, Michael F. Klaassen
Pages 123-144
Difficult and Unusual Wounds
Peter Charlesworth, Michael F. Klaassen
Pages 145-166
Ingrown Toenails
Peter Charlesworth, Michael F. Klaassen
Pages 167-174
Burn Injuries
Peter Charlesworth, Michael F. Klaassen
Pages 175-186
Bleeding, Haemostasis, and Tourniquets
Peter Charlesworth, Michael F. Klaassen
Pages 187-191
Case Studies
Peter Charlesworth, Michael F. Klaassen
Pages 193-198
Back Matter
Pages 199-200
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