Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

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A Moment in History

Jean-Louis Petit

Jean Louis Petit
(1674 – 1750)

French surgeon and anatomist, Jean Louis Petit was born in Paris in on March 13, 1674.  His family rented an apartment at his house to Alexis Littre (1658 – 1726), a French anatomist. Petit became an apprentice of Littre at seven years of age, helping him in the dissections for his lectures and at an early age became the assistant in charge of the anatomic amphitheater.

Because of Petit’s dedication to anatomy and medicine, in 1690 at the age of sixteen, became a disciple of a famous Paris surgeon, Castel.

In 1692, Petit entered the French army and performed surgery in two military campaigns. By 1693 he started delivering lectures and was accepted as a great surgeon, being invited to the most difficult operations.  In 1700 he was appointed Chief Surgeon of the Military School in Paris and in the same year he received the degree of Master of Surgery from the Faculty of Paris.

In 1715 he was made a member of the Royal Academy of Sciences and an honorary member of the Royal Society of London. He was appointed by the King as the first Director General of the Royal Academy of Surgery when it was founded in 1731.

Petit’s written works are of historical importance.  “Traite des Maladies des Os” ( A Treatise on Bone Diseases);  “Traite des Maladies Chirurgicales et des Operation” (A Treatise on Surgical Diseases and their Operations” This last book was published posthumously in 1774. He also published a monograph on hemorrhage, another on lachrymal fistula, and others.

He was one of the first to perform choIecystotomy and mastoidotomy. His original tourniquet design for amputations saved many in the battlefield and the design of the same surgical instrument today has not changed much since its invention by him.

His name is remembered in the lumbar triangle, also called the "triangle of Petit", and the abdominal hernia that can ensue through that area of weakness, the lumbar hernia or "Petit's hernia".

Sources:
1. “Jean Louis Petit – A Sketch of his Life, Character, and Writings” Hayne, AP San Fran Western Lancet 1875 4: 446-454
2. “Oeuvres compl?tes de Jean-Louis Petit” 1837 Imprimerie de F. Chapoulaud
3. Extraits de l'eloge de Jean-Louis Petit Ius dans Ia seance publique de I' Academie royale de chirurgie du 26 mai 1750” Louis A. Chirurgie 2001: 126 : 475- 81


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To put it in another way: where do we have to look for Vesalius's grave?


The following is an article published by Theo Dirix in his blog. He is one of the Vesalius Continuum project members and a contributor to this website. Theo Dirixis an author and a taphophile. He has successively held the office of Consul in Embassies of Belgium in Tanzania, Saudi Arabia, Jordan, Canada, the United Arab Emirates and, since 2011, Greece. His current posting is in Kopenhagen, Denmark  Before 1989, he worked for the Flemish Radio 3 and commented on (mainly Moroccan) literature. He is constantly writing travel stories of his visits to cemeteries and graves. He is also the author of the book "In Search of Andreas Vesalius: The Quest for the Lost Grave".


Isn’t it amazing how much we know about a scientist and physician who lived five hundred years ago, I am referring, of course, to the prominent figure of Andreas Vesalius (1514-1564)? (2)

After a jump start in academia in Italy, the Flemish anatomist made a sudden career move and became the family physician of Charles V, Emperor of the Holy Roman Empire, and to his successor Philip II and their powerful entourage in Spain. His brilliant early work, De Humani Corporis Fabrica Libri Septem, a milestone in the transition to empiric research, which has a revolutionary pedagogical and artistic approach, still inspires.

Isn’t it even more amazing that new discoveries about this giant and his achievements steadily continue to surface?(3)  Most amazing, though, is that several hoaxes, mainly about his final months and days, doggedly survive.(4) Where is that undeniable proof that he ever ran into the otherwise so well documented inquisition?(5) Vesalius left Spain as a pious pilgrim. A laissez-passer [safe passage document]  by Philip II and letters from the Spanish Embassy in Venice are conserved in archives in Spain. Even the thanking note by the Custodian of the Holy Places in Jerusalem, which Vesalius was to hand over to Philip II, reached its destination.(6) That unequivocally refutes the other obstinate prank that a shipwreck during his return was the cause of his death.

Some now argue that scurvy may have been the cause; Omer Steeno, Maurits Biesbrouck and Theodoor Goddeeris point in the direction of general fatigue.(7) Obviously, only the discovery of his remains will help determine why he collapsed on the quay of Zakynthos, then a Venetian colony, as described in a recently rediscovered eyewitness report.(8) He was buried in the local catholic church of Santa Maria delle Grazie. Several Jerusalem pilgrims have indeed described his epitaph. Unfortunately, the church has disappeared. During its history, it was sacked, abandoned, damaged and finally, after major earthquake in 1953, bulldozed into the sea.

 

dirix
Theo Dirix
 

Original photograph of the Church of Santa Maria delle Grazie in Zakynthos, Greece Original photograph of the Church of Santa Maria delle Grazie in Zakynthos, Greece. Click on the image for a larger depiction

In view of the quincentenary of the anatomist, medical artist Pascale Pollier, hoping to reconstruct his face from his cranium, started a romantic quest for his remains. Under the impetus of the author and the Embassy of Belgium in Athens, archaeologists have been involved: Prof. Jan Driessen, Université Catholique de Louvain (UCL) and Director of the Belgian School in Athens, EBSA, and Apostolos Sarris, Deputy Director of the Institute for Mediterranean Studies - Foundation for Research and Technology, Hellas (IMS-FORTH).

In 2014, Dr. Sylviane Déderix (UCL/IMS-FORTH) checked the presumed location of the church through the spatial analysis of a Geographical Information System (GIS). With that digital tool, she displayed, corrected and analysed historical maps on modern cartographic data. The result confirms that the ruins of the Santa Maria delle Grazie and its annexes are to be found to the northwest of the intersection of Kolyva Street and Kolokotroni Street, partly below the asphalt and partly under private property of emergency lodgings, which date from the ’53 earthquake, and partly under a fairly new construction.

To enrich the GIS of the first phase, a geophysical approach of anomalies under the surface should now follow. In this urban environment only non-destructive methods like ground penetrating radar (GPR) and electrical resistivity tomography (ERT) can be carried out. With the necessary permissions and funding, a team of researchers could be deployed to collect and process such data. If these are conclusive, a third phase of small scale excavations in search of remains may follow. To top up personal investments, Vesalius Continuum(9) has launched a crowd funding campaign to sponsor the second phase. If you wish to contribute to finding the real cause of Vesalius’s death and help Pascalle Pollier reconstruct the face of a genius whose legacy survives to this very day, visit: www.gofundme.com/VesaliusContinuum

Personal note: Click on the following link to collaborate with this incredible quest. I already did. Dr. Miranda

Notes and Sources:
(1) The author thanks Maurits Biesbrouck, Sylviane Déderix, Jan Driessen, Theodoor Goddeeris, Akis Ladikos, Pavlos Plessas, Pascale Pollier, Apostolos Sarris, Maria Sidirokastriti - Kontoni and Omer Steeno.
(2) Maurits Biesbrouck upgraded Dr. Harvey Cushing’s list of publications on Vesalius to more than 3000 records: http://www.andreasvesalius.be , accessed 8 January 2017.
(3) In 2007 a Canadian book collector bought Vesalius’ own copy of the 1555 edition of the Fabrica, heavily annotated in preparation of a never published third edition. In 2014 Vesalius’ own annotated copy of Institutiones by his teacher, J.G. von Andernach, came to light.
(4) DIRIX, Theo: Andreas Vesalius and his hoaxes, con variazioni, in: Vesalius, Journal of the International Society of the History of Medicine, Vol. XXII, nr. 1, June 2016, Special Issue, Proceedings of A Tribute to Andreas Vesalius, Padua, Italy - December 2015, pp. 103 - 111.
(5) The source is post-mortem gossip spread in January 1565 by the French diplomat, Hubertus Languetus, in a note of 24 lines opening with: “rumour has it”. See: BIESBROUCK, Maurits, Theodoor GODDEERIS, Omer STEENO. ‘Post Mortem’ Andreae Vesalii (1514-1564), Deel I. De laatste reis van Andreas Vesalius en de omstandigheden van zijn dood), in: A.Vesalius, nr. 3 september 2015, Alfagen, Leuven, pp 154-161.
(6) In total four letters have been discovered by José Baron Fernandez in the archives of Simancas, described and published since 1965
(7) BIESBROUCK, Maurits, Theodoor GODDEERIS, Omer STEENO. ‘Post Mortem’ Andreae Vesalii (1514-1564), Deel II. Het graf van Andreas Vesalius op Zakynthos, (vervolg en slot na Deel I in vorig nummer), in: A.Vesalius, nr. 4 december 2015, Alfagen, Leuven, pp 193-200.
(8) ibid
(9) Within the initial ad hoc organising committee of the Vesalius Continuum Conference in September 2014 in Zakynthos, medical artist Pascale Pollier and the author, then Consul at the Embassy of Belgium in Athens, formed the Search team. See: DIRIX, Theo, In Search of Andreas Vesalius, The Quest for the Lost Grave, LannooCampus, Leuven, 2014.

 


GoFundMe Campaign for the next stage of the project


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