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The Evolution of Surgery: A Historical Timeline

A History of Surgery

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Updated January 22, 2012

operating room image

In the Operating Room

Image: Getty Images

The earliest surgeries in history were crude at best and likely to have been performed out of desperation or ignorance. Surgery as we know it did not truly begin until the late 1800s, and even then, infection was common and outcomes were poor.

Surgical procedures that are commonplace today, such as appendectomies, were not common then. In fact, until 1885, a person with appendicitis was expected to die of the infection that occurred once the appendix ruptured. Early techniques were rudimentary, or even barbaric by today's standards, as anesthesia was not commonly used until the mid- to late 1800s.

Today, surgery takes a wide variety of forms and is often performed using minimally invasive techniques. This has shortened recovery times, improved outcomes and minimized complications for most patients.

To get a sense of how far surgery has developed, take a look at the timeline of major developments in the field. And it's still evolving.

Notable Milestones in Surgical History

6,500 B.C.E. - Skulls found in France show signs of a rudimentary surgery called trepanation, which involves drilling a hole in the skull.

1540 C.E. - English barbers and surgeons unite to form The United Barber-Surgeons Company. These barber-surgeons performed tooth extractions and blood letting. Physicians were considered an entirely different profession, treating illness with medications.

1818 - First transfusion of human blood.

1843 - First hysterectomy performed, in England.

1843 - First use of ether.

1846 - First public use of anesthesia during surgery. Ether was used. The patient was conscious but felt no pain during the procedure to remove a tumor in his neck.

1867 - British surgeon Joseph Lister publishes Antiseptic Principle in the Practice of Surgery, extolling the virtues of cleanliness in surgery. The mortality rate for surgical patients immediately falls.

1885 - First successful appendectomy performed, in Iowa.

1890s - Widespread use of chemical agents to minimize germs. Carbolic acid was put on incisions to minimize germs and decrease infection rates.

1893 - First successful heart surgery performed, Provident Hospital, Chicago. The surgery repaired the pericardium, the sac around the heart. Many do not consider this to be the first successful "heart surgery" because the heart itself was not operated on.

1895 - First X-ray performed, in Germany.

1896 - First successful heart surgery performed, in Germany. Surgeons repaired a stab wound in the muscle of the right ventricle.

1905 - First successful cornea transplant.

1917 - First documented plastic surgery performed, on a burned English sailor.

1922 - Insulin first used for treatment of diabetes, allowing diabetics to survive after diagnosis.

1928 - Antibiotics discovered.

1930 - German man has the first sex change operation (to a female).

1937 - First blood bank opens, helping make more surgery possible by treating bleeding during the procedure.

1940 - First metal hip replacement surgery performed.

1950s - First LASIK eye procedures performed, in Columbia.

1950 - First successful organ transplant. The kidney recipient rejected the organ after eight months.

1952 - First successful heart surgery where the heart was stopped and restarted.

1953 - First successful surgery using a heart-lung bypass machine.

1954 - First successful living donor kidney transplant, the kidney was donated by the recipient's twin brother. The recipient lived eight years after the procedure.

1966 - First successful pancreas transplant.

1967 - First successful liver transplant.

1967 - First heart transplant surgery performed, by South African Christian Barnard. The heart recipient survived 18 days until succumbing to pneumonia.

1975 - First organ surgery performed using laparoscopic, or minimally invasive, technique.

1978 - First "test tube" baby born.

1982 - Jarvik-7 artificial heart used.

1984 - Baby Fae survives 21 days after being transplanted with the heart of a baboon.

1985 - First documented robotic surgery.

1999 - First successful hand transplant (previous patients had rejected their grafts).

2000 - da Vinci robotic surgical system wins U.S. Food and Drug Administration approval. The system is now used in a wide variety of procedures, including prostate surgeries and coronary artery bypass.

2007 - First natural orifice translumenal endoscopic surgery performed. This technique uses a natural body opening, such as the mouth, to insert instruments and minimize recovery times.

2010 - World's first full-face transplant performed, in Spain.

Sources:

Heart Surgery. Baldwin, Elefteriades, and Kopf. http://www.med.yale.edu/library/heartbk/25.pdf

History of Transplantation-Timeline. Organtransplants.org Accessed December, 2011. http://www.organtransplants.org/understanding/history/index.html

Surgical Resources: The History of Surgery. Surgical Technologist. Accessed December, 2011. http://www.surgicaltechnologist.net/resources/surgical-resources-the-history-of-surgery/

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