Vignettes from the history of pediatric surgery. 2020

Don K Nakayama
Division of Pediatric Surgery, Department of Surgery, University of North Carolina at Chapel Hill. Electronic address: nakayama.don@gmail.com.

A series of historical vignettes were shared with the membership of the American Pediatric Surgical Association (APSA) in the months leading up to its 50th anniversary meeting in May, 2019. Some stories were less-known episodes from the lives of such prominent figures as William Ladd and C. Everett Koop. Others highlighted were surgeons who made significant contributions but with time have been overlooked. Examples included Herbert Coe and Oswald Wyatt, the first surgeons to devote their practices entirely to infants and children; Helen Noblett, a pediatric surgeon in Melbourne who invented a now standard device perfectly suited to sample the rectal mucosa of infants suspected of having Hirschsprung Disease; and Barbara Barlow, who fed baby rats in her Manhattan apartment to show the protective effect of breast milk on the development of experimental necrotizing enterocolitis. Great achievements were commemorated, including Morio Kasai's operation for biliary atresia, Judah Folkman's discoveries, and Lester Martin's quest for a suitable operation for teenagers with ulcerative colitis. The golden anniversary of the founding of APSA made it appropriate to recount some of the backstories behind the effort to establish a board of pediatric surgery with certification authority and the organization of APSA itself. A few anecdotes were whimsical: the story behind the first central venous cannula; how the specialty came to be called pediatric surgery; and why Robert Gross' textbook was exactly 1,000 pages long and was published with one critical chapter missing. Taken together, the vignettes of the field's surgeons, both notable and lesser-known, and their achievements show the richness of the specialty's heritage.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D010372 Pediatrics A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013043 Specialties, Surgical Various branches of surgical practice limited to specialized areas. Surgical Specialties
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D049672 History, 19th Century Time period from 1801 through 1900 of the common era. 19th Century History,19th Cent. History (Medicine),19th Cent. History of Medicine,19th Cent. Medicine,Historical Events, 19th Century,History of Medicine, 19th Cent.,History, Nineteenth Century,Medical History, 19th Cent.,Medicine, 19th Cent.,19th Cent. Histories (Medicine),19th Century Histories,Cent. Histories, 19th (Medicine),Cent. History, 19th (Medicine),Century Histories, 19th,Century Histories, Nineteenth,Century History, 19th,Century History, Nineteenth,Histories, 19th Cent. (Medicine),Histories, 19th Century,Histories, Nineteenth Century,History, 19th Cent. (Medicine),Nineteenth Century Histories,Nineteenth Century History
D049673 History, 20th Century Time period from 1901 through 2000 of the common era. 20th Century History,20th Cent. History (Medicine),20th Cent. History of Medicine,20th Cent. Medicine,Historical Events, 20th Century,History of Medicine, 20th Cent.,History, Twentieth Century,Medical History, 20th Cent.,Medicine, 20th Cent.,20th Cent. Histories (Medicine),20th Century Histories,Cent. Histories, 20th (Medicine),Cent. History, 20th (Medicine),Century Histories, 20th,Century Histories, Twentieth,Century History, 20th,Century History, Twentieth,Histories, 20th Cent. (Medicine),Histories, 20th Century,Histories, Twentieth Century,History, 20th Cent. (Medicine),Twentieth Century Histories,Twentieth Century History

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