Category:
Surgery
According to a sixteenth-century legend, recounted in the 1560 manuscript
Histoires Prodigieuses by Pierre Boaistau, there once was a woman who suffered through a five-year pregnancy.
Here's the story as summarized by Dr. Irvine Loudon in the Journal of the Royal Society of Medicine (May 2003):
The woman in question was Marguerite, the wife of George Walezer, who lived in 16th-century Vienna. In 1545 she became pregnant and felt the normal movements of the baby during pregnancy. When she went into labour with 'furious and sharp pains' she called her mother and some midwives. During the long labour they heard a noise and commotion like a cracking inside the mother and thereafter the fetal movements ceased. They assumed, correctly it seems, that the baby had died. The midwives used all their skills but failed to deliver either the baby or the placenta.
Some days later, feeling her pains return, Marguerite summoned a series of most eminent doctors from far and wide, imploring their help. The doctors merely gave her a series of drugs but with no effect. Marguerite therefore 'resolved to let nature take its course and bore with exceeding pain for the space of four years this dead corpse in her stomach'. In the fifth year she finally persuaded a surgeon to open her up and remove the child which was 'half rotted away'. The operation took place on 12 November 1550. Marguerite soon recovered and was 'so full of life and so healthy that she can still [i.e. in 1559] conceive children'.
"The operation on Marguerite of Vienna"
As unlikely as the story may sound, Dr. Loudon argues that it could be true:
Marguerite’s ordeal may have been due to an abdominal ectopic pregnancy. Most ectopic pregnancies occur when the fertilized ovum becomes implanted in the fallopian tube, and a tubal ectopic pregnancy almost always dies after two or three months of gestation. But just occasionally the fertilized ovum becomes implanted in the wall of the abdominal cavity. Sometimes, it is thought, abdominal ectopic pregnancy starts with implantation into the fimbriated end of the fallopian tube and then migrates to the abdominal cavity and invades the peritoneum secondarily...
It may be that Marguerite’s dead baby was never delivered vaginally because it was never in the uterus. Being shut off, so to speak, from the outside world, a dead baby could have escaped being the source of an infection...
In this case, when a surgeon finally agreed to operate, he did not perform a caesarean section; he simply opened the abdominal wall and promptly saw and removed the remnants of the baby. The placenta would not have been a problem because in abdominal ectopics if the baby dies the placenta soon shrivels and can be left intact. This one had five years to shrivel.
March 1968: Robert McDavid, a junior at Schulte High School in Terre Haute, Indiana, performed a heart transplant on a live rabbit for his science fair project. School administrators had approved his project. In fact, they applauded it as highly topical since the first successful human heart transplantation had been performed just the year before by the South African surgeon Christiaan Barnard.
After performing the operation, McDavid measured the length of time that the rabbit's body functioned with the new organ. He later exhibited the results of his project at the Regional Science Fair of Indiana State University and received an award for creativity in his field.
Questioned by reporters, McDavid revealed that he had prepared for the procedure by first conducting a number of practice operations, including skin grafts and bone section transplants on chickens. He said that he had also read a number of books about transplants and had conducted interviews with several physicians.
I haven't been able to track down if McDavid went on to become a surgeon.
Terre Haute Tribune - Mar 17, 1968
We've previously drawn attention to some of the dangers of coughing and sneezing. Such as
the cases of people who sneezed so hard that their eye fell out. Or
the woman who coughed out her lung.
Now the
American Journal of Medical Case Reports has published a case of "bowel evisceration after sneezing." A man sneezed violently while dining at a restaurant and then realized that his intestines had come out of a surgical incision in his stomach. He thought the incision was fully healed.
From the journal:
On the morning of the event, he returned to Urology clinic, where his wound appeared well-healed and the overlying staples were removed. He and his wife went to breakfast to celebrate.
During breakfast, the man sneezed forcefully, followed by coughing. He immediately noticed a “wet” sensation and pain in his lower abdomen. Looking down, he observed several loops of pink bowel protruding from his recent surgical site. He later related that he was unsure of how to proceed, so he covered the exposed intestines with his shirt. He initially decided to drive himself to the hospital, but concerned that changing his position might injure his bowel, his wife requested an ambulance.
To be fair, sometimes sneezing can cause miraculous recoveries, such as
the case of the woman whose deafness was cured by a sneeze.
An article recently published in the International Journal of Surgery Case Reports describes the case of an unusual foreign body (a dumbbell) removed from a patient's rectum. It also provides a brief overview of the phenomenon of unusual foreign bodies that end up in rectums:
Retained rectal objects are a rare complaint in the emergency department, but an increasingly important occurrence in recent years. A Caribbean study conducted in hospitals over 5 years revealed an incidence of approximately 0.15 cases per 100,000 population/year, but exact frequency data is not known. Despite being a problem that affects both genders, in the literature consulted there is a predominance of males, at a ratio of 28:1 to females, more specifically white men between 20 and 40 years old, having practices of sexual gratification as the greatest motivation. A huge variety of rectal objects have been described, with a greater predominance of those of a sexual nature, followed by glass objects, which should be handled with greater care due to their fragility and risk of injury if broken.
Back in the 1970s, some women in Japan reportedly tried to whiten their skin by having surgery to remove a section of their intestines:
surgeons have recently discovered a dramatic way to make Japanese females less yellow and thereby satisfy their obsession for the skin, as well as the features, of an Audrey Hepburn.
Up to 50 inches of the large intestine have to be removed according to Dr. Tadao Yagi, director of a private hospital that specializes in the operation.
I can't imagine why this would work. Perhaps the women grew paler because of malnutrition?
San Francisco Examiner - Mar 26, 1975
I believe these may be photos of the operation being performed,
from an article by Tadao Yagi in the Japanese Journal of Medical Instrumentation.
As far as I can tell, the world record for the most voluntary vasectomies performed in a single day (and at a single event) was set on December 5, 1987 in Bangkok, when 1214 men received the operation. This beat the previous record of 1202, set in 1983.
Interesting how the article specifies these were voluntary vasectomies. Is there a separate record for involuntary ones?
Anyway, 'most vasectomies' appears to be a category that Guinness doesn't bother to cover.
Des Moines Register - Dec 6, 1987
Alas, this positive sign was not an accurate forecast of
the fate of William Schroeder.
Article source.
As far as I can tell, their claim to this record remains unchallenged.
Palm Beach Post - Nov 1, 1997
“During the procedures at the hospital, the blind doctor depended on nurses and other physicians to make decisions requiring eyesight.”
So, how many decisions during surgery don't require eyesight?
Philadelphia Daily News - Mar 2, 1984
Rochester Democrat and Chronicle - Aug 26, 1984
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