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The podcast that tells the stories of the people and events that make up the history of modern surgery.

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The anatomical term ‘ostium’ is a Latin word meaning ‘door, entrance’, and is thought to arise from the Latin ‘os’ meaning ‘mouth’ (think per os, by mouth). The plural ‘ostia’ is also the name of the harbour city of Ancient Rome, at the mouth of the River Tiber (Ostia Antica).

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The Kasai procedure, aka hepatic-portoenterostomy, for congenital biliary atresia, was developed by the Japanese paediatric surgeon Morio Kasai (1922-2008). He first performed the procedure in 1955 on a 72 day old infant. It is still used today.

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Henri Bismuth (1934-) is a French hepatobiliary surgeon who set up the first liver transplant centre in France. He also helped develop the split liver technique, advanced adjuvant treatment for liver masses, and taught countless surgeons. A living legend.

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Italian anatomist Giovanni Morgagni (1682-1771) published ‘the seats and causes of disease investigated by anatomy in 5 books’ in 1761. It correlated antemortem symptoms with postmortem findings in around 700 cases, a critical turning point in our understanding of disease.

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Eagle syndrome is orofacial pain due to an elongated or misshapen styloid process that can be treated by surgical removal. It was first described in 1937 by American ENT surgeon Watt Weems Eagle (1898-1980) while working at Duke University.

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Italian anatomist and surgeon Antonio Scarpa (1752-1832) had a new anatomic theatre built at the University of Pavia in 1785. In it, there was a fresco with the figures of medicine and surgery shaking hands, demonstrating the importance of relations between the two.

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The great cerebral vein is also known as the vein of Galen, after the famous Greek physician from the Roman Empire, and can develop a congenital arteriovenous malformation. This can lead to high cardiac output and heart failure, but can be treated by endovascular techniques.

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Austrian surgeon and anatomist Carl Toldt (1840-1920) described a ‘white line’ which separates the mesocolon from the retroperitoneum. The “white line of Toldt” has become an important landmark in colon resections, as opening it allows for the colon to be mobilized.

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The ligament of Treitz (suspensory muscle of duodenum) marks the division between the duodenum and jejunem, and between upper and lower GI tract. It plays a role in embryological rotation of the gut, and was described in 1853 by Chech pathologist Václav Treitz.

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American surgeon Alfred Adson (1887-1951) pioneered neurosurgery at the Mayo Clinic. He described a manoeuvre and operation for thoracic outlet syndrome (aka Adson-Coffey syndrome). Numerous instruments are named for him, including Adson forceps!

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