Tag: Surgery

The history of surgery and its advancements today

Treating illness by using tools to remove or manipulate parts of the human body is an old idea. Even the minor operations carried high risks, but that doesn’t mean all early surgery failed. Indian doctors, at the beginning centuries before the birth of Christ, successfully removed tumors and performed amputations and other operations. They developed dozens of metal tools, relied on alcohol to dull the patient, and controlled bleeding with hot oil and tar. The 20th century brought even more radical change through technology. Advances in fiber optic technology and the miniaturization of video equipment have revolutionized surgery. The laparoscopy is the James Bond like gadget of the surgeon’s repertoire of instruments. Only a small incision through the patient’s abdominal wall is made into which the surgeon puffs carbon dioxide to open up the passage.

 Using a laparoscope, a visual assessment and diagnosis, and even surgery causes less physiological damage, reduces patient’s pain and speeds their recovery leading to shorter hospital stays. In the early 1900s, Germany’s George Kelling developed a surgical technique in which he injected air into the abdominal cavity and inserted a cytoscope – a tube like viewing scope to assess the patient’s innards. In late 1901, he began experimenting and successfully peered into a dog’s abdominal cavity using the technique. Without cameras, laparoscopy’s use limited to diagnostic procedures carried out by gynecologists and gastroenterologists.

By the 1980s, improvements in miniature video devices and fiber optics inspired surgeons to embrace minimally invasive surgery. In 1996, the first live broadcast of a laparoscopy took place. A year later, Dr. J. Himpens used a computer controlled robotic system to aid in laparoscopy. This type of surgery is now used for gallbladder removal as well as for the diagnosis and surgeries of fertility disorder, cancer, and hernias.

Hypothermia is a drop in body temperature significantly below normal can be life threatening, as in the case of overexposure to severe wintry conditions. But in some cases, like that of Kevin Everett of the buffalo bills, hypothermia can be lifesaver. Everett fell to the ground with a potentially crippling spinal cord injury during a 2007 football game. Doctors treating him on the field immediately injected his body with a cooling fluid. At the hospital, they inserted a cooling catheter to lower his body temperature by roughly five degrees, at the same time proceeding with surgery to fix his fractured spine. Despite fears that he would be paralyzed, Everett has regained his ability to walk, and advocates of therapeutic hypothermia feel his lowered body temperature may have made the difference.

Robotic surgery allows surgeons to perform complex rectal cancer surgery

Therapeutic hypothermia is still a controversial procedure. The side effects of excessive cooling include heart problems, blood clotting, and increased infection risk. On the other hand, supporters claim, it slows down cell damage, swelling, and other destructive processes well enough that it can mean successful surgery after a catastrophic injury. Surgical lasers can generate heat up to 10,000°F on a pinhead size spot, sealing blood vessels and sterilizing. Surgical robots and virtual computer technology are changing medical practice. Robotic surgical tools increase precision. In 1998, heart surgeons at Paris’s Broussais hospital performed the first robotic surgery. New technology allows an enhanced views and precise control of instruments.

“After a complex laparoscopic operation, the 65-year-old patient was home in time for dinner”. – Elisa Birnbaum, surgeon

Who was the First Plastic Surgeon?

Plastic surgery – the name implies an artificial substance – but it is derived from the Greek word “Plastikos” which means to mold or to give form. An important specialty has been taking shape, one that reshapes the lives of patients. So who was the first plastic surgeon?

John Staige Davis was the first plastic surgeon. He played an important role not only at his council group in Hopkins but also in the United States in the plastic surgery. He limited his practice in the field of plastic surgery in those times. He was the only plastic surgeon who was there when World War I took place.

Dr. John Staige Davis

In 1991, Dr. Davis published the first English language textbook of plastic surgery and it is still used today. He sends copies to medical school founder, doctors and at that time no one acknowledged receiving it. And though plastic surgery at Hopkins would not gain the standard they deserved until the next century, Dr. Davis was helping to build the foundation for the entire discipline of plastic surgery in America.

He used to pioneer the transferring tissue techniques known as “Z- plasty” and the use of small deep grafts to heal chronic wounds. He was the founding member of The American Board of Surgery and The American Board of Plastic surgery. Dr. Davis’s work and reputation starts Hopkins on its way to becoming a crossroad and destination for the country’s best plastic surgeons.

In 1942, John Staige Davis was part-time faculty member and was running a plastic clinic even though he was in his 70s by then and beyond his retirement age, two years from then a forth year medical student at Hopkins had the chance observe the master surgeon doing a cleft lip repair.

His successor Dr. Edgerton graduates and proceeds to work by joining the army and was serving at Valley Forge General Hospital in Pennsylvania. He was one of the few surgeon treating thousands of men coming back from combat with disfiguring wounds and burns needing plastic surgery. This horrendous war injuries united skill surgeon in their desire to heal wounded soldiers. This dynamic gave raise to a new and important speciality in medicine.

Dr. Edgerton

With the scientific foundation and tissue regeneration, transplantation, and stem cell biology plastic surgery is uniquely poised to make the next major advance in medicine. By regenerating or replacing missing body parts, plastic surgery can transform patients life in ways that could not have been imagined only recently.

John Staige Davis didn’t lived to see plastic surgery receive the recognition and support if required and deserved in the world. But his path-breaking work and clear vision allowed a greater dream to be realized.