Five thousand years of minimal access surgery: 1850 to 1990: Technological developments

Abstract

This is the second of a three-part series that charts the history of minimal access surgery from antiquity to current times. Although rapid developments in laparoscopic and robotic surgery have transformed surgical care over the last 30 years, our predecessors made significant advances in their time which set the principles for modern practice. Part I of this series described how ancient medical practitioners developed simple instruments, from metal or wood, for viewing body cavities. Improvements in the use of metal, glass and lighting allowed for inspection of deeper parts of the body. This second part of the series will show how advances in electrical technology allowed the development of improved lighting for endoscopy and laparoscopy along with the use of electrocautery for a wide range of therapeutic procedures.

Keywords: History of medicine; general surgery; surgery.

Figure 1.

Maximilian Carl-Friedrich Nitze (1848–1906).

Figure 2.

Georg Kelling (1866–1945).

Figure 3.

Jacobaeus performs the first human abdominal laparoscopy.

Figure 4.

Janos Veress (1903–1979).

Figure 5.

Tip of modern Veress needle with retractable tip (Mölnlycke®).

Figure 6.

Diagram of Jacobaeus (90°) and Kalk (135°) lens systems.

Figure 7.

Harold Hopkins (1918–1994).

Figure 8.

Raoul Palmer (1905–1985).

Figure 10.

Phillippe Mouret (1938–2008).

Figure 9.

Erich Muhe (1938–2006).