Blood and Guts: A History of Surgery [Hardcover]

Richard Hollingham (Author)

Book Description

Release date: December 8, 2009 | ISBN-10: 0312575467 | ISBN-13: 978-0312575465 | Edition: 1

Today, astonishing surgical breakthroughs are making limb transplants, face transplants, and a host of other previously un dreamed of operations possible. But getting here has not been a simple story of medical progress. In Blood and Guts, veteran science writer Richard Hollingham weaves a compelling narrative from the key moments in surgical history. We have a ringside seat in the operating theater of University College Hospital in London as world-renowned Victorian surgeon Robert Liston performs a remarkable amputation in thirty seconds—from first cut to final stitch. Innovations such as Joseph Lister’s antiseptic technique, the first open-heart surgery, and Walter Freeman’s lobotomy operations, among other breakthroughs, are brought to life in these pages in vivid detail. This is popular science writing at it’s best.

Editorial Reviews

From Publishers Weekly

Glove up and dive in to what Hollingham describes as a whistle-stop tour of a gruesome and fascinating field. The BBC journalist and author (How to Clone the Perfect Blonde) is a deft storyteller who probably never met a dry fact he couldn't infuse with juicy detail. But there's more here than the drive, energy and bravery of medical pioneers, both doctors and patients, from Galen treating gladiators in the second century B.C.E. to Stuart Carter, the first person to have electrical brain implants to treat Parkinson's disease. Hollingham gives us a tribute not only to saving lives but to making them better. Still, it's the missteps that remind us of the human fallibility of even the greatest doctors. [Robert] Liston's operations were messy, bloody and traumatic, Hollingham writes of Britain's most famous 19th-century surgeon, describing a procedure in which Liston accidentally lopped off an assistant's fingers. The patient died of infection, as did the assistant, and an observer died of shock. It was the only operation in surgical history with a 300 percent mortality rate. What better medical history than one that recounts both successes and failures with honesty and gratitude. 16 pages of b&w photos. (Dec. 8)
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Review

"Blood and Guts is an excellent history of surgery... a highly readable book, full of gripping anedcotes" Irish Mail on Sunday --This text refers to an out of print or unavailable edition of this title.

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Product Details

• Hardcover: 320 pages
• Publisher: Thomas Dunne Books; 1 edition (December 8, 2009)
• Language: English
• ISBN-10: 0312575467
• ISBN-13: 978-0312575465
• Product Dimensions: 9.5 x 7.1 x 1.1 inches
• Shipping Weight: 1.1 pounds (View shipping rates and policies)
• Average Customer Review: 4.4 out of 5 stars  See all reviews (16 customer reviews)
• Amazon Best Sellers Rank: #292,523 in Books (See Top 100 in Books)

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Most Helpful Customer Reviews

14 of 14 people found the following review helpful

5.0 out of 5 stars "Scientific method built on foundations of sand." December 24, 2009

By E. Bukowsky HALL OF FAMETOP 50 REVIEWERVINE™ VOICE

Format:Hardcover

The lurid title of Richard Hollingham's "Blood and Guts" is appropriate, considering its gruesome subject matter. The author traces the history of surgery from ancient times, with the disclaimer that he has not attempted to cover the subject in its entirety. Rather, Hollingham surveys significant events in trauma surgery, cardiac surgery, plastic surgery, transplant surgery, and neurosurgery. He points out that early surgeons, well-meaning though they may have been, probably killed more people than they saved. What chance did hapless patients have without x-rays to show the body's inner workings, anesthesia to reduce pain, and antibiotics and sterile operating rooms to prevent infection? The sick and injured were literally at the mercy of whoever was cutting them. Even if the "victim" miraculously survived, he or she was likely to come out of the operation badly mutilated.

Britain's finest surgeon in 1842 was Robert Liston. Although his operations were "messy, bloody, and traumatic," at least he knew enough to work quickly and under relatively clean conditions. Compared to his peers, he had a low mortality rate--one in six. However, he was arrogant and sometimes careless. During one of his operations, he had a three hundred percent mortality rate--two people died in addition to the patient!

We have come a long way from the days of Liston and especially from the time of the Roman physician, Galen. The latter thought that the heart is a furnace and that the body's humours needed to be rebalanced through vomiting, bloodletting, and purging. The annals of medicine are filled with ghastly mistakes, such as a hand transplant that went terribly wrong, hideously botched amputations, crude plastic surgery that disfigured rather than healed, and one of the most repugnant practices of all--prefrontal lobotomies. Some of the saddest and most poignant stories are those of severely wounded and maimed soldiers and the doctors who tried to save them.

"Blood and Guts" celebrates such heroes as Louis Pasteur and Joseph Lister, who laid the groundwork for today's emphasis on antisepsis; Walter Lillehei, who with Dick DeWall, worked on a "bubble oxygenator" that served as a heart-lung machine (this would make open heart surgery safer); and Sir Harold Gillies, who dedicated his life to refining the techniques of reconstructive surgery. Richard Hollingham horrifies and fascinates us with his lively and often astonishing accounts of various experimental procedures. Although the book's themes are anything but amusing, Hollingham's crisp and occasionally tongue-in-cheek writing makes this somewhat macabre work a bit more palatable. Still, many readers will be appalled at the ways in which surgeons used human beings as guinea pigs. However risky surgery is now, going under the knife was far more dangerous when surgeons "were prepared to have a go and see what happens." If they failed, they chalked it up to experience. Pity the poor person at whose expense this knowledge was gained.

9 of 9 people found the following review helpful

4.0 out of 5 stars Like good fast food January 7, 2012

By 46&2 VINE™ VOICE

Format:Hardcover|Amazon Verified Purchase

Reviewer's background- I'm a a general surgery resident; I might be harsher than other reviewers, but I hope I can give a review helpful to everyone.

This book is a nice appetizer for anyone interested in the history of surgery. It was written in conjunction with a BBC television series, and it reflects an episodic TV format (for better and for worse).

The good- This is a fun, well written, and fast book to read. The author covers a large swath of surgery: cardiac, transplant, reconstructive and even neurosurgery. Every page has a notable scene / anecdote. Blood and Guts spans centuries, from Galen in Ancient Rome to modern hand transplant surgeons. Despite the pop aspects to Blood and Guts, this is also a smart read. The author trained for 5 years to be a physician, and I think this makes Blood and Guts more intelligent than most journalistic fluff. There aren't the grating errors that make medical professions cringe (unlike most news articles or pop TV). I think the final product belies the amount of research the author put into his work.

What's 'lacking'- Because of the breadth tackled by this book, it doesn't flow seamlessly and lacks a unifying theme. This is fine if you're reading in short bursts (e.g. sitting on the can) but cumbersome if you're reading for long stretches. Also, because of the brevity and quick pace of the book, it doesn't really delve into what the patients or surgeons experienced while encountering such dramatic diseases. Children dying after cardiac surgery, RAF airmen disfigured from battle wounds, terrible surgeons, and great surgeons- it's like you're speed dating them. This book lacks a significant emotional impact for such a potentially powerful subject.

Summary- This is good fast food. Not the stuff you get in the airport, but something tasty you would get every week or so when you could spare a few minutes. For someone interested but new to the medical field, a 5 star read. For medical professionals, 3 stars. For someone totally uninterested, it may provide you with some entertainment, but it won't linger like the best books.

3 of 3 people found the following review helpful

5.0 out of 5 stars Fantastic book March 3, 2011

By Carmen D. Estrada

Format:Hardcover|Amazon Verified Purchase

After watching the PBS show of the Blood and Guts serie (a real shame as there is no DVD copy in the market) I found the book and even different of the TV serie, it is a remarkable reading.