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OPER ATIONS THAT
MADE HISTORY
Second Edition
OPER ATIONS THAT
MADE HISTORY
Second Edition
Harold Ellis
C.B.E., D.M., M.Ch., F.R.C.S.
Emeritus Professor of Surgery, University of London
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
This book contains information obtained from authentic and highly regarded sources. Reason-
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Introduction ix
6 Renal Transplantation 45
Part II Innovations
10 Electrosurgery 79
19 Envoi 155
INTRODUCTION
Harold Ellis
London, England
Part I
MAJOR BREAKTHROUGHS
1
THE FIRST OVARIOTOM Y
Figure 1.2 T
he Crawford cabin in Green County, Kentucky. (Reprinted with
permission from Schachner A. Ephraim McDowell: Father of Ovariotomy
and Founder of Abdominal Surgery. Philadelphia, JB Lippincott, 1921.)
Figure 1.3 T
he house in which Ephraim McDowell performed the first
ovariotomy; this house is now carefully preserved and restored
as a museum. (Courtesy of the Royal College of Obstetricians and
Gynaecologists, London.)
Within five days Mrs Crawford was up and about making her own
bed, and in twenty-five days she returned home in good health by
the same means as she came.
8 oper ations that made history
Figure 1.5 T
he gavel used at the Royal College of Obstetricians and
Gynaecologists, London; it is made from a piece of wood from
Ephraim McDowell’s home.
Figure 1.6 E
phraim McDowell immortalised by the United States Postal
Service. (Courtesy of the Royal College of Obstetricians and
Gynaecologists, London.)
Figure 1.7 M
emorial at the burial place of Dr Ephraim McDowell and Mrs
McDowell in Danville. (Reprinted with permission from Schachner
A. Ephraim McDowell: Father of Ovariotomy and Founder of Abdominal
Surgery. Philadelphia, JR Lippincott 1921.)
McDowell was buried in the family burial ground some five miles
from Danville, but in 1879 his remains were removed to what is now
called McDowell Park, once the old Danville cemetery. The site is
marked by a fine memorial shaft in Virginia granite erected by the
Kentucky State Medical Society. The inscription reads, ‘Beneath
this shaft rests Ephraim McDowell, M.D., the father of ovariotomy,
who by originating a great surgical operation became a benefactor
of his race, known and honoured throughout the civilised world’.
(Figure 1.7).
But what about the heroine of this story, Mrs Jane Todd Crawford?
Fortunately, Dr Robert S. Sparkman of Baylor University Medical
Centre has performed a valuable piece of historical research and
in his Presidential Address to the Southern Surgical Association in
1978 gave a detailed account of her life. She was born in December
1763 and married Thomas Crawford when she was thirty years
of age. The ceremony was performed by the Reverend Samuel
12 oper ations that made history
Figure 1.8 D
aguerreotype of Jane Todd Crawford taken in either 1840 or
1841, a year or so before her death at the age of 78. (Reprinted with
permission from Schachner A. Ephraim McDowell: Father of Ovariotomy
and Founder of Abdominal Surgery. Philadelphia, JR Lippincott 1921.)
Houston, whose infant cousin, also named Sam, was later to become
the hero of Tennessee and Texas.
In 1805, the Crawfords moved to Kentucky and erected their log
cabin. In the very year of Mrs Crawford’s operation (1809), only
thirty-five miles away from the Crawford cabin in a similar log
cabin, an infant named Abe Lincoln was born.
The year after Mrs Crawford’s surgery, the Crawfords moved
from Motley’s Glen, Green County, first to northern Kentucky and
then to Indiana, where Mr Crawford was a substantial landowner
and a representative in the Indiana legislature. Mrs Crawford died
in 1842 at the age of seventy-eight and was buried in Graysville,
Indiana, where her gravestone is preserved and a modem bronze
memorial tablet has been erected (Figure 1.8).
As a pleasant final note, in 1932, the Kentucky State Highway
Department designated the road from Motley’s Glen, Green
County, to Danville the ‘Jane Todd Crawford Trail’. How different
now the journey is along this highway by car from Mrs Crawford’s
horseback ride across that frontier country in midwinter of 1809!
the first ovariotomy 13
Bibliography
Price JA. The early ovariotomists – Pioneers in abdominal surgery. Ulster
Med J 36:1, 1967.
Schachner A. Ephraim MacDowell: Father of Ovariotomy and Founder of
Abdominal Surgery. Philadelphia, JL Lippincott, 1921.
Sparkman RS. The woman in the case. Jane Todd Crawford 1763–1842.
Ann Surg 189:529, 1979.
Spencer HR. The history of ovariotomy. In Sidelights on the History of Medicine.
Edited by Sir Zachary Cope, London, Butterworths, 1957, p. 188.
2
LIGATION OF THE ABDOMINAL
AORTA
Figure 2.1 S
ir Astley Cooper. (Courtesy of the Royal College of Surgeons of
England, London.)