Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Andreas Vesalius Bruxellensis (1514- 1564)

A Flemish anatomist and surgeon, Andreas Vesalius was born on December 31, 1514 in Brussels, Belgium. He is considered to be the father of the science of Anatomy. Up until his studies and publications human anatomy studies consisted only on the confirmation of the old doctrines of Galen of Pergamon (129AD - 200AD). Anatomy professors would read to the students from Galen's work and a demonstrator would point in a body to the area being described, if a body was used at all. The reasoning was that there was no need to dissect since all that was needed to know was already written in Galen's books. Vesalius, Fallopius, and others started the change by describing what they actually saw in a dissection as opposed to what was supposed to be there. 

Vesalius had a notorious career, both as an anatomist and as a surgeon. His revolutionary book "De Humani Corporis Fabrica: Libri Septem" was published in May 26, 1543. One of the most famous anatomical images is his plate 22 of the book, called sometimes "The Hamlet". You can see this image if you hover over Vesalius' only known portrait which accompanies this article. Sir William Osler said of this book "... it is the greatest book ever printed, from which modern medicine dates" 

After the original 1543 printing, the Fabrica was reprinted in 1555. It was re-reprinted and translated in many languages, although many of these printings were low-quality copies with no respect for copyright or authorship.

The story of the wood blocks with the carved images used for the original printing extends into the 20th century. In 1934 these original wood blocks were used to print 617 copies of the book "Iconaes Anatomica". This book is rare and no more can be printed because, sadly, during a 1943 WWII bombing raid over Munich all the wood blocks were burnt.

One interesting aspect of the book was the landscape panorama in some of his most famous woodcuts which was only "discovered" until 1903.

Vesalius was controversial in life and he still is in death. We know that he died on his way back from a pilgrimage to Jerusalem, but how he died, and exactly where he died is lost in controversy. We do know he was alive when he set foot on the port of Zakynthos in the island of the same name in Greece. He is said to have suddenly collapsed and die at the gates of the city, presumably as a consequence of scurvy. Records show that he was interred in the cemetery of the Church of Santa Maria delle Grazie, but the city and the church were destroyed by an earthquake and Vesalius' grave lost to history. Modern researchers are looking into finding the lost grave and have identified the location of the cemetery. This story has not ended yet.

For a detailed biography of Andreas Vesalius CLICK HERE.

Personal note: To commemorate Andrea Vesalius' 500th birthday in 2014, there were many scientific meetings throughout the world, one of them was the "Vesalius Continuum" anatomical meeting on the island of Zakynthos, Greece on September 4-8, 2014. This is the island where Vesalius died in 1564. I had the opportunity to attend and there are several articles in this website on the presence of Andreas Vesalius on Zakynthos island. During 2015 I also attended a symposium on "Vesalius and the Invention of the Modern Body" at the St. Louis University. At this symposium I had the honor of meeting of Drs. Garrison and Hast, authors of the "New Fabrica". Dr. Miranda


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J. Marion Sims

This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.

J. Marion Sims
J. Marion Sims

J. Marion Sims (1813 – 1883). American surgeon and gynecologist. James Marion Sims is considered the “Father of Gynecology". He was born in Hanging Rock, South Carolina. At age 12 he moved to Lancaster, South Carolina. Sims studied at the SC College and later moved to Philadelphia, PA where he studied Medicine at the Jefferson Medical College, graduating in 1835. He returned to Lancaster to practice, but shortly after moved to Montgomery, Alabama. 

In 1845 Sims started his studies to close vesicovaginal fistulas, operating in the same patient many times. He was finally able to do this using a lateral recumbent position (later called Sims’ position) and a specially designed, U-shaped, vaginal retractor (later called Sims’ speculum). For this procedure he used silver wire as suture material. His findings were published in 1852 in his paper entitled “On the Treatment of Vesico-Vaginal Fistula” 

After moving to New York J. Marion Sims helped in the founding and establishing the Woman's Hospital in the State of New York in 1855. Sims moved to Europe during the American Civil War. In Europe he became well-known and in 1866 published his book “Clinical Notes on Uterine Surgery”. While in Paris Sims performed the first cholecystostomy to relieve a blocked gallbladder.

He continued his contribution to gynecology advancing uterine prolapse surgery, advocating hysterectomy for bleeding fibroids, and suggested total hysterectomy as the only means of curing uterine cancer. One of his last contributions (not well accepted initially) was the indication for immediate exploratory laparotomy in abdominal gunshot wounds, burst ectopic pregnancy and any other sharp abdominopelvic trauma.

Sims died in New York on November 13, 1883

Sims’s life was and still is the cause of controversy. His use of slave patients, his professional jealousy and egotism, and his more than once reported disdain for patient privacy would not be accepted by today’s standards. Today in Lancaster his name helps the community thorough the “J. Marion Sims Foundation” dedicated to “support prevention and educational programs that help the citizens of Lancaster and the communities of Great Falls and Fort Lawn”

Sources:
1. “The Influence of J. Marion Sims on Gynecology” Heaton CE Bull N Y Acad Med 1956 32 (9): 685–688
2. “J. Marion Sims, the Father of Gynecology: Hero or Villain?” Sartin, JS South Med J 2004;97(5):500-505
3. “J. Marion Sims: A Defense of the Father of Gynecology” O’Leary JP South Med J 2004;97(5):427-429
4. “Carl Langenbuch and the First Cholecystectomy” Traverso LW Am J Surg 1976; 132; 81-82