{"id":1665,"date":"2018-09-20T10:56:14","date_gmt":"2018-09-20T09:56:14","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1665"},"modified":"2019-06-27T13:46:51","modified_gmt":"2019-06-27T12:46:51","slug":"blind-alleys-and-dead-ends-researching-innovation-in-late-20th-century-surgery","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/20\/blind-alleys-and-dead-ends-researching-innovation-in-late-20th-century-surgery\/","title":{"rendered":"Blind alleys and dead ends: researching innovation in late 20th century surgery"},"content":{"rendered":"<figure id=\"attachment_1637\" aria-describedby=\"caption-attachment-1637\" style=\"width: 360px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1637\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover.jpg\" alt=\"\" width=\"360\" height=\"488\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover.jpg 400w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/medhum_44_3_Cover-221x300.jpg 221w\" sizes=\"auto, (max-width: 360px) 100vw, 360px\" \/><figcaption id=\"caption-attachment-1637\" class=\"wp-caption-text\">September 2018 Volume 44 Issue 3<\/figcaption><\/figure>\n<p>How do medical innovations evolve? In \u201c<a href=\"http:\/\/dx.doi.org\/10.1136\/medhum-2016-011176\">Blind alleys and dead ends: researching innovation in late 20th century surgery<\/a>,\u201d Harriet Palfreman and Roger Kneebone examine the fortunes of a surgical innovation\u2014the PCCL (percutaneous cholecystolithotomy) treatment of gallstones\u2014in the late 20<sup>th<\/sup> century. In 1988, eight patients underwent the procedure, which required extracting the gallstones using an endoscope inserted through a small hole in the abdomen. The procedure came to light in the midst of sweeping change\u2014the movement away from invasive surgeries and toward today\u2019s minimally invasive procedures. In many respects, PCCL might be considered a \u201cfailure.\u201d It fell out of favour rapidly as new treatments arrived. But, as Palfreman and Kneebone\u2019s work makes clear, apparent failures are as important as successes when it comes to new innovations. In their article for MH, they look closely at the history of PCCL\u2019s rise and fall, and their analysis helps to shed light on the ongoing development of surgical technique.<\/p>\n<p>Harriet Palfreman puts it this way:<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-1665-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Harriet-Palfreman.mp3?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Harriet-Palfreman.mp3\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2018\/09\/Harriet-Palfreman.mp3<\/a><\/audio>\n<p>Read the full article on the <em>Medical Humanities<\/em> Journal <a href=\"https:\/\/mh.bmj.com\/content\/44\/3\/165\">website<\/a>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How do medical innovations evolve? In \u201cBlind alleys and dead ends: researching innovation in late 20th century surgery,\u201d Harriet Palfreman and Roger Kneebone examine the fortunes of a surgical innovation\u2014the PCCL (percutaneous cholecystolithotomy) treatment of gallstones\u2014in the late 20th century. In 1988, eight patients underwent the procedure, which required extracting the gallstones using an endoscope [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2018\/09\/20\/blind-alleys-and-dead-ends-researching-innovation-in-late-20th-century-surgery\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-1665","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Blind alleys and dead ends: researching innovation in late 20th century surgery - Medical Humanities<\/title>\n<meta name=\"description\" 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