Belly Rippers Surgical Innovation And The Ovariotomy Controversy

This open access book looks at the dramatic history of ovariotomy, an operation to remove ovarian tumours first practiced in the early nineteenth century. Bold and daring, surgeons who performed it claimed to be initiating a new era of surgery by opening the abdomen. Ovariotomy soon occupied a complex position within medicine and society, as an operation which symbolised surgical progress, while also remaining at the boundaries of ethical acceptability. This book traces the operation's innovation, from its roots in eighteenth-century pathology, through the denouncement of those who performed it as 'belly-rippers', to its rapid uptake in the 1880s, when ovariotomists were accused of over-operating. Throughout the century, the operation was never a hair's breadth from controversy. This work was published by Saint Philip Street Press pursuant to a Creative Commons license permitting commercial use. All rights not granted by the work's license are retained by the author or authors.

This open access book looks at the dramatic history of ovariotomy, an operation to remove ovarian tumours first practiced in the early nineteenth century. Bold and daring, surgeons who performed it claimed to be initiating a new era of surgery by opening the abdomen. Ovariotomy soon occupied a complex position within medicine and society, as an operation which symbolised surgical progress, while also remaining at the boundaries of ethical acceptability. This book traces the operation’s innovation, from its roots in eighteenth-century pathology, through the denouncement of those who performed it as ‘belly-rippers’, to its rapid uptake in the 1880s, when ovariotomists were accused of over-operating. Throughout the century, the operation was never a hair’s breadth from controversy.

In this innovative analytical account of the place of emotion and embodiment in nineteenth-century British surgery, Michael Brown examines the changing emotional dynamics of surgical culture for both surgeons and patients from the pre-anaesthetic era through the introduction of anaesthesia and antisepsis techniques. Drawing on diverse archival and published sources, Brown explores how an emotional regime of Romantic sensibility, in which emotions played a central role in the practice and experience of surgery, was superseded by one of scientific modernity, in which the emotions of both patient and practitioner were increasingly marginalised. Demonstrating that the cultures of contemporary surgery and the emotional identities of its practitioners have their origins in the cultural and conceptual upheavals of the later nineteenth century, this book challenges us to question our perception of the pre-anaesthetic period as an era of bloody brutality and casual cruelty. This title is also available as open access.

Shortlisted for the 2023 Andrew Carnegie Medal for Excellence in Nonfiction and the PEN/E.O. Wilson Literary Science Writing Award One of Five Books Best Literary Science Writing titles in 2023 A New York Times Editors' Choice A Science Friday Best Science Book to Read This Summer A myth-busting voyage into the female body. A camera obscura reflects the world back but dimmer and inverted. Similarly, science has long viewed woman through a warped lens, one focused narrowly on her capacity for reproduction. As a result, there exists a vast knowledge gap when it comes to what we know about half of the bodies on the planet. That is finally changing. Today, a new generation of researchers is turning its gaze to the organs traditionally bound up in baby-making—the uterus, ovaries, and vagina—and illuminating them as part of a dynamic, resilient, and ever-changing whole. Welcome to Vagina Obscura, an odyssey into a woman’s body from a fresh perspective, ushering in a whole new cast of characters. In Boston, a pair of biologists are growing artificial ovaries to counter the cascading health effects of menopause. In Melbourne, a urologist remaps the clitoris to fill in crucial gaps in female sexual anatomy. Given unparalleled access to labs and the latest research, journalist Rachel E. Gross takes readers on a scientific journey to the center of a wonderous world where the uterus regrows itself, ovaries pump out fresh eggs, and the clitoris pulses beneath the surface like a shimmering pyramid of nerves. This paradigm shift is made possible by the growing understanding that sex and gender are not binary; we all share the same universal body plan and origin in the womb. That’s why insights into the vaginal microbiome, ovarian stem cells, and the biology of menstruation don’t mean only a better understanding of female bodies, but a better understanding of male, non-binary, transgender, and intersex bodies—in other words, all bodies. By turns funny, lyrical, incisive, and shocking, Vagina Obscura is a powerful testament to how the landscape of human knowledge can be rewritten to better serve everyone.

In this sweeping history of reproductive surgery in Mexico, Elizabeth O'Brien traces the interstices of religion, reproduction, and obstetric racism from the end of the Spanish empire through the post-revolutionary 1930s. Examining medical ideas about operations (including cesarean section, abortion, hysterectomy, and eugenic sterilization), Catholic theology, and notions of modernity and identity, O'Brien argues that present-day claims about fetal personhood are rooted in the use of surgical force against marginalized and racialized women. This history illuminates the theological, patriarchal, and epistemological roots of obstetric violence and racism today. O'Brien illustrates how ideas about maternal worth and unborn life developed in tandem. Eighteenth-century priests sought to save unborn souls through cesarean section, while nineteenth-century doctors aimed to salvage some unmarried women's social reputations via therapeutic abortion. By the twentieth century, eugenicists wished to regenerate the nation's racial profile, in part by sterilizing women in public clinics. The belief that medical interventions could redeem women, children, and the nation is what O'Brien refers to as "salvation though surgery." As operations acquired racial and religious significances, Indigenous, Afro-Mexican, and mixed-race people's bodies became sites for surgical experimentation. Even during periods of Church-state conflict, O'Brien argues, the religious valences of experimental surgery manifested in embodied expressions of racialized, and often-coercive, medical science.

This book explores how the writers, poets, thinkers, historians, scientists, dilettantes and frauds of the long-nineteenth century addressed the “limit cases” regarding human existence that medicine continuously uncovered as it stretched the boundaries of knowledge. These cases cast troubling and distorted shadows on the culture, throwing into relief the values, vested interests, and power relations regarding the construction of embodied life and consciousness that underpinned the understanding of what it was to be alive in the long nineteenth century. Ranging over a period from the mid-eighteenth century through to the first decade of the twentieth century—an era that has been called the ‘Age of Science’—the essays collected here consider the cultural ripple effects of those previously unimaginable revolutions in science and medicine on humanity’s understanding of being.

Doctors writing about menopause in France vastly outnumbered those in other cultures throughout the entire nineteenth century. The concept of menopause was invented by French male medical students in the aftermath of the French Revolution, becoming an important pedagogic topic and a common theme of doctors' professional identities in postrevolutionary biomedicine. Older women were identified as an important patient cohort for the expanding medicalisation of French society and were advised to entrust themselves to the hygienic care of doctors in managing the whole era of life from around and after the final cessation of menses. However, menopause owed much of its conceptual weft to earlier themes of women as the sicker sex, of vitalist crisis, of the vapours, and of astrological climacteric years. This is the first comprehensive study of the origins of the medical concept of menopause, richly contextualising its role in nineteenth-century French medicine and revealing the complex threads of meaning that informed its invention. It tells a complex story of how women's ageing featured in the demographic revolution in modern science, in the denigration of folk medicine, in the unique French field of hygiène, and in the fixation on women in the emergence of modern psychiatry. It reveals the nineteenth-century French origins of the still-current medical and alternative-health approaches to women's ageing as something to be managed through gynaecological surgery, hormonal replacement, and lifestyle intervention.

What contemporary prostate angst tells us about how we understand masculinity, aging, and sexuality. We are all suffering an acute case of prostate angst. Men worry about their own prostates and those of others close to them; women worry about the prostates of the men they love. The prostate--a gland located directly under the bladder--lurks on the periphery of many men's health issues, but as an object of anxiety it goes beyond the medical, affecting how we understand masculinity, aging, and sexuality. In A Cultural Biography of the Prostate, Ericka Johnson investigates what we think the prostate is and what we use the prostate to think about, examining it in historical, cultural, social, and medical contexts. Johnson shows that our ways of talking about, writing about, imagining, and imaging the prostate are a mess of entangled relationships. She describes current biomedical approaches, reports on the "discovery" of the prostate in the sixteenth century and its later appearance as both medical object and discursive trope, and explores present-day diagnostic practices for benign prostate hyperplasia--which transform a process (urination) into a thing (the prostate). Turning to the most anxiety-provoking prostate worry, prostate cancer, Johnson discusses PSA screening and the vulnerabilities it awakens (or sometimes silences) and then considers the presence of the absent prostate--how the prostate continues to affect lives after it has been removed in the name of health.