Читать книгу Small Animal Laparoscopy and Thoracoscopy онлайн

45 страница из 232

The increasing rate of deadly complications associated with rising use of laparoscopy was likely the reason that a 25‐year gap in development was taking place in America between 1939 and 1966 [2]. Fortunately, the development continued in Europe, with the Swedish‐born French gynecologist Raoul Palmer (1904–1985), achieving brilliant milestones. During the early 1940s, in occupied Paris during World War II, he discovered the benefits of Trendelenburg position on pelvic visualization. He developed safer administration of insufflation, video capture of procedures, and not the least; he excelled in the training of innumerable disciples from all over the world. Many of the great laparoscopists in the 1960s through the 1980s were trained by Palmer who apparently was a generous and beloved teacher and mentor.

Unfortunately, the development of laparoscopy was not straightforward. In 1961, it suffered a great fall from grace when its use was banned in Germany as a “prohibitively hazardous procedure”: a result of faulty insufflator and electro‐cautery units. By 1964, the ban was lifted due to improvements in component technology, but its reputation was none‐the‐less damaged.