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Under the Knife: A History of Surgery in 28 Remarkable Operations (2014)

by Arnold van de Laar

Other authors: See the other authors section.

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1169233,131 (4.08)3
"Surgeon Arnold Van de Laar uses his own experience and expertise to tell this engrossing history of surgery through 28 famous operations - from Louis XIV to JFK, and from Einstein to Houdini. From the story of the desperate man from seventeenth-century Amsterdam who grimly cut a stone out of his own bladder to Bob Marley's deadly toe, Under the Knife offers all kinds of fascinating and unforgettable insights into medicine and history via the operating theater. What happens during an operation? How does the human body respond to being attacked by a knife, a bacterium, a cancer cell or a bullet? And, as medical advances continuously push the boundaries of what medicine can cure, what are the limits of surgery? From the dark centuries of bloodletting and of amputations without anaesthetic to today's sterile, high-tech operating theatres, Under the Knife is both a rich cultural history, and a modern anatomy class for us all"--… (more)
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Showing 1-5 of 9 (next | show all)
Absolutely fascinating, and wonderfully narrated. I'd recommend this to everybody who is interested in the history of surgery. ( )
  Belana | Dec 15, 2021 |
I've been on quite a nonfiction kick this year, haven't I? Anyway, usual disclaimer: opinions expressed in this review are my own and do not reflect those of my employers.

I picked this up mostly for fun and fast reading, and because the short chapters suit my current mood (overwhelmed by doing a master's program in the evening while working full time, and in need of a quick escape from the glare of the computer screen before bed). Plus I am interested in popular medical books because both my parents and my sister are in different aspects of health care. Plus again, the back-back-back burner novel I mentioned in my last review involves a surgeon and two surgeries (though neither type of surgery was described in this book).

Van de Laar provides a very casual introduction to different kinds of surgery throughout history. Very casual--there are no citations in the text, a few of the chapters aren't actually about surgery, and I wasn't totally clear on why the chapters were arranged in the order that they were. Chapters on John F. Kennedy and Lee Harvey Oswald were at opposite ends of the book. One chapter about diagnosis actually talked about fictional detectives, which seemed a bit like pandering to a popular audience to me--and the fact that van de Laar talked about the fact that Arthur Conan Doyle had medical experience but failed to mention that Doyle's mentor, Dr. Joseph Bell, was actually the one with observational techniques that inspired Sherlock Holmes' style of deduction felt like a major omission. Bell would have been a more interesting focus for the chapter than fictional detectives--not even doctors!

It also stings that in the era of the #metoo movement there's not a single female surgeon described in this book. Surely women must have made some valuable contributions in the history of surgery. Since a couple of the chapters aren't actually about surgery, then off the top of my head I would say that Lady Mary Wortley Montagu would be worth a mention for her work in bringing inoculation against smallpox into Europe (read the excellent [b:The Speckled Monster: A Historical Tale of Battling Smallpox|1002535|The Speckled Monster A Historical Tale of Battling Smallpox|Jennifer Lee Carrell|https://images.gr-assets.com/books/1309281718s/1002535.jpg|707889] for more information about her).

Finally, the book is definitely written for a non-U.S. audience: some medical vocabulary is European rather than American (the large intestine is the "great intestine", and it's "paediatric" rather than "pediatric" for example); and Celsius and meters/centimeters are used instead of Fahrenheit and feet/inches. I mean, it's only fair, given that the U.S. is a special snowflake that does things differently from the rest of the sensibly Metric world, but on the other hand, this is a U.S. edition...

But the historical anecdotes were interesting and amusing. I may have a tougher stomach than some, but there were certainly some graphic depictions of diseases and operations that had me making funny faces on the subway--to the amusement, I sometimes noticed, of my fellow riders. I may have also had too much fun reading any operation on male genitals to the S.O. in my life. The book got its revenge his behalf with the chapter on Queen Caroline's umbilical hernia.

Overall, this was a fun and fluffy history of surgery...but definitely not a good source to cite for any kind of academic writing.

And now, time to stop procrastinating and get back to homework! ( )
  books-n-pickles | Oct 29, 2021 |
Introduction to surgery for non-professionals through the history via some remarkable operations. These operations were remarkable due to the patients (Louis XIV), the doctors, or the operations themselves. There was a bit too much focus on castration, anal fistulas, and other stuff like that for my taste, but it was overall a good, if not great, book. Definitely biased toward entertainment vs. education, but well presented. ( )
  octal | Jan 1, 2021 |
The thing is, I love historical medicine, so this book is entirely up my alley. Another thing I love is that van de Laar seems as interested in language as I am so he often will indicate the meaning or etymology of medical terms when he brings them up.
Also this is the second book I've read that includes my now-favourite medical history anecdote, of Dr Liston, working before anaesthesia, who could cut with such speed that he once accidentally sliced off the fingers of his assistant, whose massive blood loss caused a spectator to die of shock, and later both the assistant and the patient died from infection, making this the only recorded surgery with a 300% mortality rate. ( )
  katebrarian | Jul 28, 2020 |
Van de Laar, a Dutch laparoscopic surgeon, is a charming, witty, and erudite guide to surgery, and his book is a treasure trove of historical, medical, and anatomical information for curious, and not-too-squeamish lay people. I understand that the book grew out of a regular column the surgeon wrote about historic surgical cases for a medical journal. Van de Laar mostly focuses on procedures performed on famous individuals. Some of the people who populate the pages of Under the Knife became famous as a result of the operations performed on them, or, in one case, because of an operation an individual performed on himself.

As the subtitle suggests, the reader learns how a number of operations were originally done and how they are generally carried out today. Before discussing each case, the author takes the reader through some basic regional anatomy. Valuable sidebars in each chapter introduce key medical concepts— inflammation, primary and secondary healing, etcetera. Perhaps this sounds dry to you. I assure you it’s not. Illustrations and photographs are occasionally included, but I wish there had been more. From time to time, I did an online search and watched a video of a procedure I had trouble visualizing.

All in all, a terrific book! ( )
1 vote fountainoverflows | Aug 31, 2019 |
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» Add other authors (10 possible)

Author nameRoleType of authorWork?Status
Arnold van de Laarprimary authorall editionscalculated
Brown, AndyTranslatorsecondary authorsome editionsconfirmed
Jänicke, BärbelÜbersetzersecondary authorsome editionsconfirmed
Keeble, RichNarratorsecondary authorsome editionsconfirmed
Pignatti, LauraTraduttoresecondary authorsome editionsconfirmed
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"Surgeon Arnold Van de Laar uses his own experience and expertise to tell this engrossing history of surgery through 28 famous operations - from Louis XIV to JFK, and from Einstein to Houdini. From the story of the desperate man from seventeenth-century Amsterdam who grimly cut a stone out of his own bladder to Bob Marley's deadly toe, Under the Knife offers all kinds of fascinating and unforgettable insights into medicine and history via the operating theater. What happens during an operation? How does the human body respond to being attacked by a knife, a bacterium, a cancer cell or a bullet? And, as medical advances continuously push the boundaries of what medicine can cure, what are the limits of surgery? From the dark centuries of bloodletting and of amputations without anaesthetic to today's sterile, high-tech operating theatres, Under the Knife is both a rich cultural history, and a modern anatomy class for us all"--

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