The subject of the dissertation is the investigation and mapping of Nikolay Ivanovich Pirogov, the founder of “modern medicine” in Imperial Russia in the 19th century, Soviet Union and the Russian... Show moreThe subject of the dissertation is the investigation and mapping of Nikolay Ivanovich Pirogov, the founder of “modern medicine” in Imperial Russia in the 19th century, Soviet Union and the Russian Federation. Pirogov lived from 1810-1881 and is briefly and incorrectly only known in the world history of medicine as a military surgeon. He was a professor of applied anatomy and surgery from an early age, being the first to administer anaesthesia (ether) on the battlefield in the Caucasus during the summer of 1847. He was above all a scientist and teacher. He was also a member and correspondent of the Imperial Russian Academy of Sciences, and forerunner of the International Red Cross. He wrote many (text)books with different disciplines as subject. Research shows that he is a late student of the Leiden Medical School from the 18th century.The question is: why is Herman Boerhaave, who lived in the late 17th – early 18th century, more famous than Nikolay I. Pirogov, who lived in the 19th century from 1810-1881. Show less
Chung, J.E.R.E.W.; Helmond, N. van; Geet, R. van; Benthem, P.P.G. van; Blom, H.M. 2019
CO2-lasertonsillotomy under local anesthesia is an interesting alternative treatment method for tonsillectomy under general anesthesia for tonsil-related complaints in adults. This report presents... Show moreCO2-lasertonsillotomy under local anesthesia is an interesting alternative treatment method for tonsillectomy under general anesthesia for tonsil-related complaints in adults. This report presents a step-by-step protocol detailing the execution of CO2-lasertonsillotomy under local anesthesia.Tonsil-related complaints are very common among the adult population. Tonsillectomy under general anesthesia is currently the most performed surgical treatment in adults for such complaints. Unfortunately, tonsillectomy is an invasive treatment associated with a high complication rate and a long recovery time. Complications and a long recovery time are mostly related to removing the vascular and densely innervated capsule of the tonsils. Recently, CO2-lasertonsillotomy under local anesthesia has been demonstrated to be a viable alternative treatment for tonsil-related disease with a significantly shorter and less painful recovery period. The milder side-effect profile of CO2-lasertonsillotomy is likely related to leaving the tonsil capsule intact. The aim of the current report is to present a concise protocol detailing the execution of CO2-lasertonsillotomy under local anesthesia. This intervention has been performed successfully in our hospital in more than 1,000 patients and has been found to be safe and to be associated with a steep learning curve. Show less
Leuning, D.G.; Lievers, E.; Reinders, M.E.J.; Kooten, C. van; Engelse, M.A.; Rabelink, T.J. 2017
