What was the operation of the 20th century?
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What was the operation of the 20th century?
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Inspired by a Lancet article waxing lyrical (not unreasonably) about total hip arthroplasty, what do you think was the best operation to come out of the 20th century. Quite simply, where n
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What was the operation of the 20th century?
posted at 28/9/2012 12:36 PM BST
on bmj.com
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Posts: 317
First: 27/10/2011 Last: 8/5/2013 |
Inspired by a Lancet article waxing lyrical (not unreasonably) about total hip arthroplasty, what do you think was the best operation to come out of the 20th century. Quite simply, where next? ...
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Re: What was the operation of the 20th century?
posted at 28/9/2012 1:26 PM BST
on bmj.com
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Posts: 2035
First: 12/3/2010 Last: 19/5/2013 |
The surgical field that will advance is bariatric, mainly becuase it is still so new. I'm sure that the operations being done today will be considered primitive and outmoded in a few years. But the whole field might be temporary, an outdated concept by the century's end. After all, Vagotomy and pyloroplasty, what's that? PPI's have made it an anachronism. In the same way, medical and pharmaceutical advances may make gastric bands and gastroplasties as old hat. I'm less sure, but has stenting reduced or near abolished the need for coronary artery bypass grafting? So there may be technical advances too that will change obesity control. John |
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Re: What was the operation of the 20th century?
posted at 28/9/2012 4:45 PM BST
on bmj.com
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Posts: 3037
First: 27/3/2012 Last: 18/5/2013 |
There are many great achievements of the 20th century. Some of these are of cardiovascular surgeries like coronary angioplasty, open heart surgery. Also some organ transplantation surgeries. And yet many to come! |
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Re: What was the operation of the 20th century?
posted at 28/9/2012 10:53 PM BST
on bmj.com
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Posts: 1347
First: 25/1/2009 Last: 19/5/2013 |
Within paediatrics it would probably be the laparoscopic pyloromyotomy or the laparoscopic fundoplication and gastrostomy insertion. The first has improved care for pyloric stenosis, The second revolutionised the options for severely disabled children who would have been unlikely to survive the major anaesthetic for the open version |
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Re: What was the operation of the 20th century?
posted at 29/9/2012 10:24 AM BST
on bmj.com
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Posts: 317
First: 27/10/2011 Last: 8/5/2013 |
If you needed inspiration, have a look at the story of Ephraim McDowell and Jane Todd Crawford. Not only a remarkable doctor, but what a lady... |
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Re: What was the operation of the 20th century?
posted at 3/10/2012 2:13 PM BST
on bmj.com
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Posts: 24
First: 2/4/2009 Last: 7/5/2013 |
Bariatric surgery is more of a 21st century phenomenon, and most open operations started in the late 19th century once effective anaesthesia was introduced. For me the stand-out surgical procedure of the 20th century was TURP. It was the first truly endoscopic and non-invasive operation, and it led on to the development of laparoscopic surgery and latterly robotic operating. Effectively, it was the invention of endoscopic surgery that made the development of current bariatric techniques possible. The technical advances that made it possible were both developed at Reading University: fibre-optic light transmission, and the rod lens. Later came the techniques to transfer images through fibre-optic bundles, and high sensitivity CCTV chips. |
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