35 research outputs found
Anaesthesia - A medical and pharmacological revolution
Farewell Lectur
Nikolay Ivanovich Pirogov (1810-1881): A pioneering Russian surgeon and medical scientist
Nikolay Pirogov qualified as a physician from Moscow University in 1828 and then studied surgery and anatomy at University of Dorpat. He developed new surgical techniques, including the eponymous osteoplastic foot amputation. His application of scientifically based techniques extended surgery from a craft to a science. During the Crimean War he initiated the deployment of women as nurses and used triage for dealing with mass casualties. His textbook on field surgery became the standard reference on the subject and his principles remained virtually unchanged until the Second World War. Pirogov died on 5 December 1881 at his estate in Vishnya
Anaesthesia - A medical and pharmacological revolution
Farewell Lectur
Surgery for Cancer: Does Anesthesia Matter?
Perioperative Medicine: Efficacy, Safety and Outcom
Nikolay Ivanovich Pirogov (1810–1881):Anatomical Research to Develop Surgery
The 19th century Russian surgeon Nikolay Ivanovich Pirogov believed passionately
in the importance of anatomy for surgeons. His interest in anatomy began as a
medical student in Moscow. After graduating in 1828 Pirogov entered the postgraduate German-Baltic University of Dorpat (now Tartu in the Republic of Estonia)
where he studied anatomy and surgery. After completing his study, he remained to
research the consequences of ligation of the aorta in a series of animal experiments, which formed the core of his doctoral thesis. He wanted to determine the
feasibility of aortic ligation as a treatment for patients with an aneurysm of the aorta
or iliac artery. He discovered that success was only likely when the aorta was ligated
between the two mesenteric arteries and the ligature gradually tightened, an
approach surgically difficult in humans. Pirogov then spent 2 years at the Charité
Hospital in Berlin before returning to Russia. In 1841, he was appointed Professor
of Applied Anatomy and Surgery at the Imperial Medico-Surgical Academy in Saint
Petersburg. He instituted the teaching of microscopy and histology to the medical
curriculum and in 1846 formed the Institute for Applied Anatomy within the academy, where in addition to teaching medical students future teachers of anatomy in
Russia were trained. Pirogov published extensively on anatomy, including several
anatomical atlases, the most notable his three-dimensional atlas of topographical
anatomy published in four volumes between 1852 and 1859. Today Pirogov’s contributions to anatomy are remembered in a number of anatomical structures named
after him. Stem cells & developmental biolog