Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia

Hendriks, I. F.; Bovill, J. G.; Boer, F.; Houwaart, Eddy; Hogendoorn, Pancras C.W.

doi:10.1111/anae.12916

Cited by 11 publications

(14 citation statements)

References 12 publications

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“…Pirogov had recently returned from the Crimean War and is considered the founder of military field surgery. 3,4 By the century’s end, Irishman Alexander Macalister at the University of Cambridge, UK, had completed a full definition of this condition. 5,6…”

Section: Origins and Pathoanatomymentioning

confidence: 99%

Os acromiale: a review of its incidence, pathophysiology, and clinical management

2019

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An os acromiale occurs when any of the primary ossification centres of the acromion fail to fuse with the basi-acromion. It is present in approximately 8% of individuals, and whilst the majority of these individuals are unaffected it can cause significant pain and disability. It can impact seemingly unrelated surgical intervention in the region such as subacromial decompression and reverse shoulder arthroplasty. A painful os acromiale can be both a diagnostic challenge, and difficult to manage. There remain a wide variety of surgical practices with variable outcomes achieved. We present an evidence-based discussion of the surgical techniques described to date in the literature, alongside a comprehensive review of the incidence and pathophysiology of os acromiale. This review was written after a comprehensive analysis of the literature to date relating to os acromiale. Particular focus was given to material examining surgical management techniques, and the condition’s incidence across different population groups. Open reduction and internal fixation using cannulated screws, or tension band wiring have superior outcomes in the literature in the treatment of symptomatic os acromiale. There may be a biomechanical advantage of combining the two techniques. Preservation of large anterior deltoid attachment is necessary, with consideration being given to the local blood supply. There is likely no additional benefit from iliac crest vs local bone grafting. Research in this area remains of a low evidence level with small samples sizes. Appropriately powered clinical research of a higher-level evidence methodology is needed in order to differentiate further in the choice of surgical intervention. Cite this article: EFORT Open Rev 2019;4:525-532. DOI: 10.1302/2058-5241.4.180100

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Section: Origins and Pathoanatomymentioning

confidence: 99%

Os acromiale: a review of its incidence, pathophysiology, and clinical management

2019

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“…En route, Pirogov visited several towns and cities where he introduced ether anaesthesia to the local physicians [53]. He used it widely in the summer of 1847 during the Caucasian War [12]. He also carried out experiments with rectal administration of ether on animals and later also in patients.…”

Section: The Implementation Of Anaesthesia In Surgerymentioning

confidence: 99%

“…Nikolay Pirogov was interested not only in anatomy and its application to surgery but also in its value to forensic pathology [32,45]. During the Caucasian conflict in the summer [12].…”

Section: Anatomy As a Value To Forensic Pathology And Disarticulationmentioning

confidence: 99%

Nikolay Ivanovich Pirogov as an innovator in anatomy, surgery, and anaesthesiology. Part II

Hendriks

Zhuravlev

Bovill

et al. 2020

Žurnal anatomii i gistopatologii

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This article is the second of two articles on Nikolay Ivanovich Pirogov. In the first article “Highlights of the professional activities of Nikolay Ivanovich Pirogov before and after his professoriate in Saint Petersburg (1841–1860).” we discussed his early training and his professional development at the Dorpat University and abroad till his appointment in Saint Petersburg 1841. Also is discussed how during and after his professoriate in Saint Petersburg he developed management of mass war casualties. In this second article we highlight his professional career as an anatomist, surgeon and anaesthesiologist. The authors want to emphasize that these two articles are an extract from previously published extensive articles related to Nikolay Ivanovich Pirogov. You can find these articles in the reference list under the name of the first author [12–17].

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“…The psychological influence of anesthesia on the soldiers was remarkable [ 17 ]. Pirogov developed his own inhaler device and the equipment for using ether rectally [ 18 - 19 ].…”

Section: Reviewmentioning

confidence: 99%

The Life and Work of Nikolai Ivanovich Pirogov (1810-1881): An Outstanding Anatomist and Surgeon

Koutsouflianiotis

Paraskevas

Zagelidou

et al. 2018

Cureus

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Nikolai Ivanovich Pirogov is considered one of the most important anatomists and surgeons in the history of medicine. The Russian physician conducted more than 11,000 dissections and meticulously studied human anatomy, discovering important anatomical regions such as Pirogov's triangle. Pirogov developed surgical methods and techniques used by physicians for many decades such as Pirogov's amputation. Pirogov is also known for his contribution to war medicine, given his experience practicing medicine in the Crimean War as a surgeon, where he introduced innovative methods for the treatment of injured soldiers. Pirogov’s most important contribution to the scientific community is his humanistic and democratic mentality—which he maintained until the end of his life—elements necessary for the evolution of every modern physician and scientist.

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Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia

Cited by 11 publications

References 12 publications

Os acromiale: a review of its incidence, pathophysiology, and clinical management

Os acromiale: a review of its incidence, pathophysiology, and clinical management

Nikolay Ivanovich Pirogov as an innovator in anatomy, surgery, and anaesthesiology. Part II

The Life and Work of Nikolai Ivanovich Pirogov (1810-1881): An Outstanding Anatomist and Surgeon

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