Nikolay Ivanovich Pirogoff (1810–1881)

Malakhova, O. E.

doi:10.1002/ca.10249

Cited by 8 publications

(6 citation statements)

References 9 publications

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“…When examining the medical situation from a historical perspective, one can undoubtedly state that the level of prosthetic care towards the end of the 19th century was in no way comparable to the options available today. Simple wooden prostheses or the complete absence of prosthetic care of any kind were the main forms of rehabilitation available at the time of the Crimean War [1, 3]. Using the method of amputation at ankle level, Pirogow successfully enabled patients to stay mobile without a prosthesis.…”

Section: Discussionmentioning

confidence: 99%

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Pirogow’s Amputation: A Modification of the Operation Method

Bueschges

Muehlberger

Mauss

et al. 2013

Advances in Orthopedics

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Introduction. Pirogow's amputation at the ankle presents a valuable alternative to lower leg amputation for patients with the corresponding indications. Although this method offers the ability to stay mobile without the use of a prosthesis, it is rarely performed. This paper proposes a modification regarding the operation method of the Pirogow amputation. The results of the modified operation method on ten patients were objectified 12 months after the operation using a patient questionnaire (Ankle Score). Material and Methods. We modified the original method by rotating the calcaneus. To fix the calcaneus to the tibia, Kirschner wire and a 3/0 spongiosa tension screw as well as a Fixateur externe were used. Results. 70% of those questioned who were amputated following the modified Pirogow method indicated an excellent or very good result in total points whereas in the control group (original Pirogow's amputation) only 40% reported excellent or very good result. In addition, the level of pain experienced one year after the completed operation showed different results in favour of the group being operated with the modified way. Furthermore, patients in both groups showed differences in radiological results, postoperative leg length difference, and postoperative mobility. Conclusion. The modified Pirogow amputation presents a valuable alternative to the original amputation method for patients with the corresponding indications. The benefits are found in the significantly reduced pain, difference in reduced radiological complications, the increase in mobility without a prosthesis, and the reduction of postoperative leg length difference.

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Section: Discussionmentioning

confidence: 99%

“…In his original article from 1854, Nikolai Iwanowitsch Pirogow reported on hundreds of lower limb amputations he carried out during the Crimean war [1] (Figure 1). The Crimean war was fought between Imperial Russia on one side and an alliance of France, the United Kingdom, the Kingdom of Sardinia, and the Ottoman Empire on the other.…”

Section: Introductionmentioning

confidence: 99%

Pirogow’s Amputation: A Modification of the Operation Method

Bueschges

Muehlberger

Mauss

et al. 2013

Advances in Orthopedics

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“…Pirogov was born in Moscow on November 13, 1810, and was the 13th child of a middle-class family. After the death of his father, Pirogov’s family encountered serious financial difficulties [ 1 ]. Nikolai Ivanovich, with the support of Professor Mukhin—a family friend and professor of anatomy and physiology at Medico-Surgical Academy and later at Moscow University—entered Moscow University as a medical student [ 2 ].…”

Section: Reviewmentioning

confidence: 99%

The Life and Work of Nikolai Ivanovich Pirogov (1810-1881): An Outstanding Anatomist and Surgeon

Koutsouflianiotis

Paraskevas

Zagelidou

et al. 2018

Cureus

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Nikolai Ivanovich Pirogov is considered one of the most important anatomists and surgeons in the history of medicine. The Russian physician conducted more than 11,000 dissections and meticulously studied human anatomy, discovering important anatomical regions such as Pirogov's triangle. Pirogov developed surgical methods and techniques used by physicians for many decades such as Pirogov's amputation. Pirogov is also known for his contribution to war medicine, given his experience practicing medicine in the Crimean War as a surgeon, where he introduced innovative methods for the treatment of injured soldiers. Pirogov’s most important contribution to the scientific community is his humanistic and democratic mentality—which he maintained until the end of his life—elements necessary for the evolution of every modern physician and scientist.

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“…In 1847, Gruber received an offer from a prominent Russian physician, Nicolai Ivanovich Pirogov, to join him at the Medical Academy of St. Petersburg in Russia as the first prosector of normal human anatomy at the institution. 2,15 In 1855, Gruber succeeded Pirogov as the director of the department of anatomy at the academy, 15,39,50 and eventually obtained full professorship in 1858. 2,15 During his early years as a professor, Gruber studied cranial anatomy.…”

Section: Wenzel Leopold Gruber (1814-1889)mentioning

confidence: 99%

Gruber, Gradenigo, Dorello, and Vail: key personalities in the historical evolution and modern-day understanding of Dorello’s canal

Reddy¹,

Reddy²,

Jyung

et al. 2016

JNS

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A century ago an ambitious young anatomist in Rome, Primo Dorello, who sought to understand the cause of abducent nerve palsy that often occurred in patients with severe middle ear infections, conducted intricate studies on the intracranial course of the nerve. In his findings, he identified that the abducent nerve passes through a narrow sinus near the apex of the petrous bone, which formed an osteofibrous canal. Dorello suggested that in this enclosed region the abducent nerve may be particularly vulnerable to compression due to the vascular edema accompanying the infection. Although his work was widely appreciated, it was not well received by all. Interestingly, Giuseppe Gradenigo, one of the most prominent Italian otologists of the early 20th century, who was known for his work on a triad of symptoms (Gradenigo’s syndrome) that accompanies petrous apicitis, a result of severe middle ear infections, was obstinate in his criticism of Dorello’s findings. Thus a scientific duel began, with a series of correspondence between these two academics—one who was relatively new to the otological community (Dorello) and one who was well reputed in that community (Gradenigo). The disagreement ultimately ebbed in 1909, when Dorello published a report in response to Gradenigo’s criticisms and convinced Gradenigo to change his views. Today Dorello’s canal is widely recognized as a key landmark in skull base surgery of the petroclival region and holds clinical significance due to its relation to the abducent nerve and surrounding vascular structures. Yet, although academics such as Dorello and Gradenigo are recognized for their work on the canal, it is important not to forget the others throughout history who have contributed to the modern-day understanding of this anatomical structure. In fact, although the level of anatomical detail found in Dorello’s work was previously unmatched, the first description of the canal was made by the experienced Austrian anatomist Wenzel Leopold Gruber in 1859, almost 50 years prior to Dorello’s landmark publication. Another critical figure in building the understanding of Dorello’s canal was Harris Holmes Vail, a young otolaryngologist from Harvard Medical School, who in 1922 became the first person to describe Dorello’s canal in the English language. Vail conducted his own detailed anatomical studies on cadavers, and his publication not only reaffirmed Dorello’s findings but also immortalized the eponym used today—“Dorello’s canal.” In this article the authors review the life and contributions of Gruber, Dorello, Gradenigo, and Vail, four men who played a critical role in the discovery of Dorello’s canal and paved the way toward the current understanding of the canal as a key clinical and surgical entity.

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Nikolay Ivanovich Pirogoff (1810–1881)

Cited by 8 publications

References 9 publications

Pirogow’s Amputation: A Modification of the Operation Method

Pirogow’s Amputation: A Modification of the Operation Method

The Life and Work of Nikolai Ivanovich Pirogov (1810-1881): An Outstanding Anatomist and Surgeon

Gruber, Gradenigo, Dorello, and Vail: key personalities in the historical evolution and modern-day understanding of Dorello’s canal

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