Wednesday, April 4, 2012

BRAVE PEOPLE - The operation on himself (!)

Leonid Rogozov was born in a remote village in Eastern Siberia, just 17 km from the Soviet border with Mongolia and China, near Manzhouli. His father was killed in World War II in 1943. In 1953 he completed his studies at a secondary school in Minusinsk, Krasnoyarsk Krai and was admitted to the Leningrad Pediatric Medical Institute (now Saint Petersburg). After graduating in 1959 as a general practitioner, he started clinical training to specialise in surgery. In September 1960, at the age of 26, he interrupted his training and joined the sixth Soviet Antarctic Expedition as a doctor.

From September 1960 until October 1962, Rogozov worked in Antarctica, including his role as the sole doctor in a team of thirteen researchers at the Novolazarevskaya Station, which was established in January 1961.

On the morning of 29 April 1961, Rogozov experienced general weakness, nausea, and moderate fever, and later pain in the lower right portion of the abdomen. All possible conservative treatment measures did not help. By 30 April signs of localised peritonitis became apparent, and his condition worsened considerably by the evening. Mirny, the nearest Soviet research station, was more than 1,000 miles from Novolazarevskaya. Antarctic research stations of other countries did not have an aircraft. Severe blizzard conditions prevented aircraft landing in any case. Rogozov had no option but to perform the operation on himself.

The operation started at about 22:00 on 30 April with the help of a driver and meteorologist, who were providing instruments and holding a mirror to observe areas not directly visible, while Rogozov was in a semi-reclining position, half-turned to his left side. A solution of 0.5% novocaine was used for local anaesthesia of the abdominal wall. Rogozov made a 10–12 cm incision and proceeded to expose the appendix. General weakness and nausea developed about 30–40 minutes after the start of the operation, so that short pauses for rest were repeatedly needed after that. According to his report the appendix was found to have a 2x2 cm perforation at its base. Antibiotics were administered directly into the peritoneal cavity. By about midnight the operation was complete.

After a brief period of postoperative weakness, the signs of peritonitis disappeared. Rogozov's temperature returned to normal after five days, and the stitches were removed seven days after the operation. He resumed his normal duties in about two weeks. The self-surgery captured the imagination of the Soviet public at the time. In 1961 he was awarded the Order of the Red Banner of Labour.

In October 1962 Rogozov returned to Leningrad and started doing a PhD (kandidat nauk) at his alma mater. He was awarded the PhD degree in September 1966 with the thesis "Resection of the esophagus for treating esophageal cancer". In later years he worked as a doctor in several hospitals in Leningrad/Saint Petersburg. From 1986 until 2000 he served as the head of the surgery department of Leningrad/Saint Petersburg Research Institute for Tubercular Pulmonology (Санкт-Петербургский научно-исследовательский институт фтизиопульмонологии).

Rogozov died on 21 September 2000 from lung cancer.

http://en.wikipedia.org/wiki/Leonid_Rogozov

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