[Influence of anesthesia and antisepsis on the earliest gynecologic laparotomies: historical notes on the bicentennial of the introduction of ovariectomy].
On the occasion of the bicentennial of the first ovariectomy, we reviewed the beginnings of abdominal gynecologic surgery in Spain in order to shed light on aspects that are still unclear in medical historiography and that are often wrongly presented. We consulted a large number of sources that allowed us to follow events in the last quarter of the nineteenth century, discovering information we consider definitive and that confirmed our initial hypotheses. The work of Dr Federico Rubio, the first to perform an ovariectomy in Spain, is highlighted among the early experiences of our Spanish surgeons. Emphasis is placed on the high mortality rate associated with this operation at the beginning. We also analyze the problems of anesthesia and antisepsis and the influence of each on the surgical procedure. The events uncovered were the work of a group of forward-thinking surgeons who made considerable progress against opposing groups with more conservative views and whose contributions to Spanish surgery were far less brilliant.
Franco Grande
A
A
Hospital Clínico Universitario, Santiago de Compostela, Hospital General de Vigo. avelinofrangran@yahoo.es
Cortés Laíño
J
J
Díz Gómez
J C
JC
Alvarez Escudero
J
J
D000768:Anesthesia, General / Q000266:history*; D000985:Antisepsis / Q000266:history*; D034462:Dissent and Disputes / Q000266:history; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000266:history* / Q000379:methods; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D007629:Kentucky; D007813:Laparotomy / Q000266:history*; D010048:Ovarian Cysts / Q000266:history / Q000601:surgery; D010052:Ovariectomy / Q000266:history* / Q000379:methods / Q000401:mortality / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D012772:Shock, Septic / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D013030:Spain