Preview

Grekov's Bulletin of Surgery

Advanced search

To the question of skull trepa nation. Historical excursion

https://doi.org/10.24884/0042-4625-2025-184-1-89-98

Abstract

The article presents information highlighting some moments of the evolution of surgical instruments used to perform skull trepanation from ancient times up to the Modern Age (late 19th century), when the period of skull surgery ended and a new surgical specialty, neurosurgery, emerged. Almost all of these instruments went out of use with the develop ment of microsurgery, but the study of the history of medicine and understanding of the stages of its development is one of the fundamental bases in the formation of the worldview of any competent modern doctor.

About the Authors

A. Yu. Ulitin
Almazov National Medical Research Centre
Russian Federation

Ulitin Alexey Yu., Dr. of Sci. (Med.), Professor, Honored Physician of the Russian Federation, Chief Freelance Neurosurgeon, Head of the Department of Neurosurgery with a Course of Neurophysiology, Institute of Medical Education, Head of Neurosurgical Department № 4 of the Russian Research Neurosurgical Institute named after Professor A. L. Polenov

2, Akkuratova str., Saint Petersburg, 197341


Competing Interests:

 The authors declare no conflict of interest.



N. N. Fomin
Military Medical Academy
Russian Federation

Fomin Nikolay F., Dr. of Sci. (Med.), Professor, Colonel of the Medical Service, Honored Scientist of the Russian Federation, Head of the Department of Operative Surgery (with Topographic Anatomy), Military Medical Academy

6, Academica Lebedeva str., Saint Petersburg, 194044


Competing Interests:

 The authors declare no conflict of interest.



D. N. Monashenko
Russian Medical Research Institute of Traumatology and Orthopedics named after R.R. Vreden
Russian Federation

Monashenko Dmitry N., Dr. of Sci. (Med.), Neurosurgeon of the Highest Category, Head of the First Neurosurgical Department, Russian Scientific Research Institute of Traumatology and Orthopedicsnamed after R.R. Vreden

8, str. Academician Baykova, Saint Petersburg, 195427


Competing Interests:

 The authors declare no conflict of interest.



N. E. Voinov
Almazov National Medical Research Centre
Russian Federation

Voinov Nikita E., Neurosurgeon, Russian Research Neurosurgical Institute named after Professor A. L. Polenov

2, Akkuratova str., Saint Petersburg, 197341 


Competing Interests:

 The authors declare no conflict of interest.



G. A. Ulitin
Military Medical Academy
Russian Federation

Ulitin Georgy A., Student, Military Medical Academy

6, Academica Lebedeva str., Saint Petersburg, 194044 


Competing Interests:

 The authors declare no conflict of interest.



References

1. Hippocrates. On Wounds in the Head. In the Surgery. On Fractures. On Joints. Mochlicon. 1928. Vol. III. Cambridge, MA: Harvard University Press, 1928.

2. Galen. Method of Medicine. Volume II: Books 5 – 9. Cambridge, MA: Harvard University Press, 2011.

3. Celsus. On medicine. Vol. III. Cambridge (Mass): Harvard University Press. 1938.

4. Marion G. Chirurgie du Système Nerveux. Paris: G. Steinheil, 1903. 5. Martin G. Craniotomy: The First Case Histories. J. Clin. Neuroscience. 1999. Vol. 6. P. 361‒363. https://doi.org/10.1016/S0967-5868(99)90069-3.

5. Brothwell D. R. Osteological evidence of the use of a surgical modiolus in a Romano-British population: an aspect of primitive technology. J. Archeol. Sci. 1974. Vol. 1. P. 209‒211. https://doi.org/10.1016/0305-4403(74)90044-2.

6. Heister L. A general system of surgery. London: W. Innys, 1745.

7. Chipault A. Chirurgie Opératoire du Système Nerveux. Paris: Rueff et C., 1895.

8. Chipault A. Chirurgie nerveuse d’urgence. Paris: J.B. Baillière et fils, 1904.

9. Sigerist H. E. A History of Medicine. Oxford: University Press, 1951.

10. Starr A. Brain surgery. New York: William Wood & Co, 1895.

11. Rogers L. The history of craniotomy: an account of the methods which have been practiced and the instruments used for opening the human skull during life. Ann. Med. Hist. 1930. Vol. 2. P. 495‒514.

12. Le Dran H.-F. Observations in Surgery: Containing One Hundred and Fifteen Different CasesWith Particular Remarks on Each for the Improvement of Young Students. Surgeon J.S. (trans.). London Bridge, UK: James Hodges at the Looking Glass, 1740.

13. Garengeot R. J. C. Nouveau traité des instruments de chirurgie les plus útiles et de plusieurs nouvelles machines propres pour les maladies des os. 2nd ed. Paris: Chez Guillaume Cavelier; 1727.

14. Diderot D., D’Alambert R. L. Encyclopédie. Paris; Chez Briasson, David, le Beton, Durand: 1751‒1772.

15. Bichat X. Description d’un nouveau trépan. In: Mémoires de la Société Médicale d’émulation. Paris: Chez Richard, Caille et Ravier, 1799.

16. Gallez L. La trépanation du crane. Paris: Georges Carré, 1893.

17. Goddard J. C. The navy surgeon’s chest: surgical instruments of the Royal Navy during the Napoleonic War. J. R. Soc. Med. 2004. Vol. 97. P. 191‒7. https://doi.org/10.1177/014107680409700414.

18. Terrier F., Péraire M. L’opération du trépan. Paris: Félix Alcan. 1895.

19. Pott P. Observations on the nature and consequences of those injuries to which the head is liable from external violence. Hawes L., Clarke W. and Collins, London, 1768.

20. Bell C. Illustrations of the great operations of surgery: trepan, hernia, amputation, aneurism, and lithotomy. London: Longman et al., 1821.

21. Arnold and Sons. A catalogue of surgical instruments. London: Arnold and Sons, 1873.

22. Evans & Wormull. Illustrated catalogue of surgical instruments. London: Evans & Wormull, 1876.

23. Earle J. The chirurgical works of Percivall Pott: with his last corrections, to which are added, a short account of the life of the author, a method of curing the hydrocele by injection, and occasional notes and observations. Vol. 1. Philadelphia: James Webster, 1819.

24. Flamm E. S. Percivall Pott: an 18th century neurosurgeon. J. Neurosurg. 1992. Vol. 76. P. 319‒326. https://doi.org/10.3171/jns.1992.76.2.0319.

25. Ganz J. C. Head injuries in the 18th century: the management of the damaged brain. Neurosurgery. 2013. Vol. 73. P. 167‒176. https://doi.org/10.1227/01.neu.0000429851.45073.a8.

26. Goodrich J. T. How to get and out of the skull: From tumi to ‘hammer and chisel’ to the Gigli saw and the osteoplastic flap. Neurosurg. Focus. 2014. Vol. 36. P. E6.

27. Gross C. A hole in the head: more tales in the history of neuroscience. The MIT Press, Cambridge Massachussetts, 2009. https://doi.org/10.7551/mitpress/7759.001.0001.

28. Kirkup J. R. The history and evolution of surgical instruments. Introduction. Ann. R. Coll. Surg. Engl. 1981. Vol. 63. P. 279‒83.

29. George Tiemann & Co. The American Armamentarium Chrurgicum. New York: George Tiemann & Co, 1879.

30. Maison Mathieu. Catalogue. Lyon, 1890.

31. Doyen E. Traité de therapeutique chirurgicale et de technique opératoire. Paris: A. Maloine, 1909.

32. Naqvi N. H. The first British illustrated surgical catalogue. Vesalius. 2004. Vol. 10. P. 38‒41.

33. Jones C. Instruments of medical information: the raise of the medical trade catalog in Britain, 1750-1914. Technol. Cult. 2013. Vol. 545. P. 653‒599. https://doi.org/10.1353/tech.2013.0114.

34. Wilkins R. H. Neurosurgical techniques: an overview. In: Greenblatt S.H. (ed.). A history of neurosurgery. Park Ridge (IL): American Association of Neurological Surgeons, 1997. P. 83‒96.

35. Glyantsev S. P. Brief history and description of the surgical instrument kit of the early 19th century.Hist. Med. 2014. Vol. 1. P. 148‒53. https://doi.org/10.17720/2409-5834.v1.1.2014.16g. EDN: YVCZZR.


Supplementary files

1. Неозаглавлен
Subject
Type Исследовательские инструменты
View (699KB)    
Indexing metadata ▾
2. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
3. Неозаглавлен
Subject
Type Исследовательские инструменты
View (15KB)    
Indexing metadata ▾
4. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
5. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
6. Неозаглавлен
Subject
Type Исследовательские инструменты
View (253KB)    
Indexing metadata ▾
7. Неозаглавлен
Subject
Type Исследовательские инструменты
View (239KB)    
Indexing metadata ▾
8. Неозаглавлен
Subject
Type Исследовательские инструменты
View (397KB)    
Indexing metadata ▾
9. Неозаглавлен
Subject
Type Исследовательские инструменты
View (330KB)    
Indexing metadata ▾
10. Неозаглавлен
Subject
Type Исследовательские инструменты
View (664KB)    
Indexing metadata ▾
11. Неозаглавлен
Subject
Type Исследовательские инструменты
View (506KB)    
Indexing metadata ▾
12. Неозаглавлен
Subject
Type Исследовательские инструменты
View (195KB)    
Indexing metadata ▾
13. Неозаглавлен
Subject
Type Исследовательские инструменты
View (327KB)    
Indexing metadata ▾
14. Неозаглавлен
Subject
Type Исследовательские инструменты
View (2MB)    
Indexing metadata ▾
15. Неозаглавлен
Subject
Type Исследовательские инструменты
View (3MB)    
Indexing metadata ▾
16. Неозаглавлен
Subject
Type Исследовательские инструменты
View (182KB)    
Indexing metadata ▾
17. Неозаглавлен
Subject
Type Исследовательские инструменты
View (153KB)    
Indexing metadata ▾
18. Неозаглавлен
Subject
Type Исследовательские инструменты
View (27KB)    
Indexing metadata ▾
19. Неозаглавлен
Subject
Type Исследовательские инструменты
View (303KB)    
Indexing metadata ▾
20. Неозаглавлен
Subject
Type Исследовательские инструменты
View (280KB)    
Indexing metadata ▾
21. Неозаглавлен
Subject
Type Исследовательские инструменты
View (139KB)    
Indexing metadata ▾
22. Неозаглавлен
Subject
Type Исследовательские инструменты
View (27KB)    
Indexing metadata ▾
23. Неозаглавлен
Subject
Type Исследовательские инструменты
View (115KB)    
Indexing metadata ▾
24. Неозаглавлен
Subject
Type Исследовательские инструменты
View (934KB)    
Indexing metadata ▾
25. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1006KB)    
Indexing metadata ▾
26. Неозаглавлен
Subject
Type Исследовательские инструменты
View (32KB)    
Indexing metadata ▾
27. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
28. Неозаглавлен
Subject
Type Исследовательские инструменты
View (21KB)    
Indexing metadata ▾
29. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
30. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
31. Неозаглавлен
Subject
Type Исследовательские инструменты
View (22KB)    
Indexing metadata ▾
32. Неозаглавлен
Subject
Type Исследовательские инструменты
View (15MB)    
Indexing metadata ▾
33. Неозаглавлен
Subject
Type Исследовательские инструменты
View (18MB)    
Indexing metadata ▾
34. Неозаглавлен
Subject
Type Исследовательские инструменты
View (18MB)    
Indexing metadata ▾
35. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
36. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
37. Неозаглавлен
Subject
Type Исследовательские инструменты
View (1MB)    
Indexing metadata ▾
38. Неозаглавлен
Subject
Type Исследовательские инструменты
View (578KB)    
Indexing metadata ▾
39. Неозаглавлен
Subject
Type Исследовательские инструменты
View (358KB)    
Indexing metadata ▾
40. Неозаглавлен
Subject
Type Исследовательские инструменты
View (127KB)    
Indexing metadata ▾
41. Неозаглавлен
Subject
Type Исследовательские инструменты
View (127KB)    
Indexing metadata ▾
42. Неозаглавлен
Subject
Type Исследовательские инструменты
View (168KB)    
Indexing metadata ▾

Review

For citations:


Ulitin A.Yu., Fomin N.N., Monashenko D.N., Voinov N.E., Ulitin G.A. To the question of skull trepa nation. Historical excursion. Grekov's Bulletin of Surgery. 2025;184(1):89-98. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-1-89-98

Views: 177


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)