Necessity Of Anatomical Knowledge In Thoracic Surgery.

The necessity of anatomical knowledge was fundamental issue for medical practice since prehistoric times and with the passing of centuries, that knowledge was improved very slowly. So in mid-1535 Vesalius began to study the human body by dissecting cadavers and warned that the dissection was the most important means by direct observation as the only reliable source. Through his work set aside age-old classic mistakes to discover that Galen's investigations were based on the dissection of animals, not of humans. His contemporary highlighted the anatomical knowledge as essential to the practice of surgery, shared this view with Vesalius. He was the initiator of the regional anatomy describing topographic anatomical areas and regional levels. Through the centuries, the anatomical knowledge was updated to facilitate the incorporation of techniques and technologies that emerged every day. Alejandro Posadas in Argentina who opened the thoracic surgery endocavitary insisted on a clear notion of the thoracic anatomy to aid in surgical practice. Later Avelino Gutierrez and Eugenio A. Galli highlighted a reasoned interpretation and a new nomenclature for the cardiac chambers according to their topographic reality. Jose Luis Martinez finally gave a distinctive character to Argentinian thoracic surgery by highlighting a detailed anatomical knowledge and begin to dissect the pulmonary hilum neglecting mass ligation of the pedicle. The acquisition of new Biostructural knowledge allows therapeutic approaches by new routes such as video-assisted surgical procedures and new diagnostic imaging such as magnetic resonance angiography. There is talk of a new disease for lack of anatomical basics notions. Its integration with the semiologic knowledges allows the combination of the basic notions that provide adequate medical care.