The contributions of infection control to a century of surgical progress.

Although many surgical procedures were well-developed in principle before 1867, their application for the treatment of human disease was limited because of a mortality rate from postoperative infection alone of about 50%. It was the eventual acceptance of Lister's work and the development of the aseptic-antiseptic ritual that allowed operative therapy to be successful and made modern surgery possible. The background leading to the development of aseptic-antiseptic rituals is discussed.