The Pain of Surgical Operations before Anesthesia

Covering a previously unexplored area in the history of surgery, this innovative resource provides a historical overview of how surgeons managed the pain of an operation. The definitive statement on this book's central topic was written by Celsus in the first century AD, which emphasized accepting the unavoidability of pain during surgery and how patient distress should not tempt surgeons to rush procedures before completion. Inhaled narcotics were occasionally recommended but never became a standard treatment. There was a consensus from classical times that ingested opium produced too many side effects to be used during an operation. In 1846, anaesthesia was introduced, solving the problem.Presenting these different eras in the history of surgery with a range of detailed examples, this book also offers inferential interpretations of how surgeons incorporated their understanding of pain into their surgical practice. Most surgeons demonstrated humanity, tempered by their beliefs and personalities, and managed pain by using specific techniques, instruments, and analgesic adjuncts.Key Features: Provides an overview of an underexplored area of history, filling a gap in the history of medicine by focusing on pain during surgery before modern anaesthetics Offers inferential explanations for the ways in which surgeons managed pain prior to anaesthesia, including how they utilized specialized techniques and instruments, as well as how patients coped with pain when awake and unanaesthetized Builds a comprehensive understanding of the history of surgery prior to anaesthesia through historical examples and primary sources With key topics, surgeons, and surgical techniques covered, this book will be suited to medical students taking courses on the history of surgery and will interest practitioners of various surgical specialties, anaesthetists, and medical historians.

About the Author

Jeremy C. Ganz studied at the University of Cambridge, qualifying as a doctor in 1967 and obtaining the FRCS in 1973. His neurosurgical training was at the National Hospital for Nervous Diseases, Queen Square London, Frenchay Hospital, Bristol and the Manchester Royal Infirmary. In 1976 he emigrated to Norway and in 1978 acquired a Norwegian Medical License and the qualification of Specialist in Neurosurgery. He has practiced in Trondheim and Bergen. He was awarded a Doctor of Medicine degree from the University of Bergen in 1990. From 1993 to 2001 taught Gamma Knife technique in over seventy centres round the world followed by six years in Cairo helping to establish the Gamma Knife Center in Cairo. In 2006 he returned to practice neurosurgery in Bergen retiring in 2010. Thereafter, he spent a year teaching neurology in English in Shantou Medical University, Guandong Province, People's Republic of China. Since retirement in 2010, he has published four books on neurosurgery and radiosurgery related topics and four books on the history of surgery.