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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Lorenz Heister


This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.To search all the articles in this series, click here.

Lorenz Heister (1683-1758) A German surgeon, physician, anatomist, and botanist, Lorenz Heister [also known as Laurentius Heisterus] was born at Frankfurt-am-Main in 1683. As a result of his early studies, he became proficient in Latin, French, English and Dutch. He started medical studies at the University of Giessen, later continuing in Amsterdam, and Leyden, where he obtained his MD degree in 1708.

For a short time Heister became an army surgeon. In 1710 he was appointed Professor of Anatomy and Surgery at the University of Altfdorf. Although he lectured in Latin, Heister published his anatomical treatise “Compendium Anatomicum” in German in 1718. Later, Latin, French, Italian, and Spanish translations were created and published. Heister’s book became the main anatomical and surgical textbook in Europe. The English version was first published in 1743.

Heister is considered the “Father of German Surgery”, including in his books the management of hemorrhage, wounds, fractures, bandaging, instrumentation, and surgery. Heister described the surgical treatment of breast cancer, hemothoraces, spinal fractures, trepanation, oral surgery, and even obstetrical emergencies. He introduced the term “tracheotomy.” Heister also studied the eye, confirming that cataracts are formed within the lens.

Ruggero Oddi
Original image
 courtesy of "Images from the History of Medicine" at  www.nih.gov
His name is remembered eponymically in two structures:

•. Heister’s valve (plica spiralis) a spiral fold of mucosa found in the cystic duct
•. Heister’s diverticulum (bulbus superius venae jugularis interna), a dilation of the internal jugular vein found at its origin from the jugular foramen of the base of the cranium

Heister's name is spelled Heisters, in his "Compendium Anatomicum" published in 1756.

Sources:
1. "Heister of the spiral valve of Heister - Lorenz Heister" Gastroenter Hepat News (2006): 131 (3) 696. 
2. “Lorenz Heister: Surgeon (1683-1758)” Stewart, J. Can Med Assoc J. 1929 20(4): 418–419. 
3. "Lorenz Heister (1683-1758). Eighteenth century surgeon" JAMA 202 (11), 1048-1049
4. "Lorenz Heister and oral disease with the original text from his papers". Shklar , G. J Hist Dent (2007); 55:2 68-74

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-plasty

The suffix [-(o)plasty] has a Greek origin and means "formed or molded". It is used in surgery to denote a surgical repair where the organ or body part is re-formed. For practical purposes, a great definition for this suffix is "surgical reshaping".

If an organ or body part is surgically manipulated, cut, or opened, then there are two ways to repair the damage. The first one is to repair and leave it exactly as it was before the operation. The proper suffix to use in this case is [-orrhaphy], meaning "repair". The second case is when the organ has been repaired in such a way that is different in shape than when the operation started. In this case the proper suffix to use is [-oplasty].

Some applications of this suffix are:

Hernioplasty: Surgical reshaping of a hernia
• Abdominoplastly: Surgical reshaping of the abdomen
• Rhinoplasty: Surgical reshaping of the nose
• Aneurysmoplasty: Surgical reshaping of an aneurysm
Mammoplastly: Surgical reshaping of the breast

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Serosa

A serosa is a type of epithelium embryologically derived from the mesoderm, thus a serosa can also be called a [mesothelium]. Serosal membranes are found forming sacs that surround structures in the body, such as the pericardium, pleural membranes, and peritoneum.

Serous membranes are characterized by a thin single-layer mesothelium covering a layer of vascularized loose connective tissue. A serosa produces (and absorbs) a watery fluid called "serous fluid" which serves to lubricate organs that require movement such as the heart, lungs and digestive tract : pericardial fluid, pleural fluid, and peritoneal fluid.

The excess production (effusion) of serous fluid can cause serious pathology, such as  pericardial tamponade, hydrothorax, or ascitis (peritoneal effusion) 

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Triquetrum

The [triquetrum] is one of the bones of the proximal row of carpal bones that form the wrist. Because of its wedge-shape it is also called the [cuneiform] bone, from the Latin [cuneus], meaning "wedge".  Other names for this bone are [triangular] bone and [os triquetrum].

The triquetrum bone articulates with the lunate bone laterally, the pisiform bone anteriorly, and the hamate bone distally. It is separated from the distal ulna by a triangular articular disc.

The accompanying image shows the anterior (volar) surface of the wrist. Click on the image for a larger picture.

Image modified from the original: "3D Human Anatomy: Regional Edition DVD-ROM." Courtesy of Primal Pictures

Scaphoid bone - anterior (volar) view of the wrist

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Epithelium

This is a word of Greek origin. The prefix [epi] means "outer" or "above"; the root term [-thel-] means "nipple" or "female", and the suffix [-ium] means "layer" or "membrane.  The reason for the origin of this words is that in c.1700 Ryusch used this term to refer to the surface layer of cells in the nipple and areola. It was later used to denote any covering superficial layer of cells.  The plural form for epithelium is epithelia.

There are many types of epithelia in the body, and they are described by their histology, or how they look under the microscope: single-layer, multilayered, cuboidal, columnar, etc.

- Although the above is the standard accepted etymology for this word, I have a different interpretation, as the Latin term [tela], meaning "fabric" or "cover" could have been used. Thus explained, the word means "outer cover layer". Who knows?. Dr. Miranda -

"The origin of Medical Terms" Skinner, AH, 1970

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Cerebellum

Superior view of the cerebellum (modified from Gray's Anatomy)
Cerebelum

The word [cerebellum] is Latin and means "little brain". The cerebellum is one of the three main gross components of the brain (encephalon), the other two being the cerebral hemispheres and the brain stem.

The cerebellum is characterized by a tightly folded external cortex where the gyri are long and parallel to each other and the sulci are not very deep. Upon gross examination, the cerebellum presents with two lateral lobes (left and right) and a median lobe known as the vermis. Other authors divide the cerebellum into an anterior and posterior lobe separated by a primary fissure or sulcus, also known as the preclival sulcus.

Median section of the cerebellar vermis
Cerebellar vermis

The cerebellum is located posterior to the brain stem and posteroinferior to the cerebral hemispheres. It is separated from the occipital lobes of the brain by an extension of dura mater called the tentorium cerebelli. Because of its location, the cerebellum serves as a roof for the 4th ventricle, a component of the ventricular system of the brain. Click here to see a median section, of the cerebellum where you can observe its location and relation to the brain stem, 4th ventricle, and occipital lobe.

The cerebellum is part of the motor control of the brain and is involved in motor coordination, precision, balance and accurate motor timing. Cerebellar dysfunction does not cause paralysis, but produces fine motor control disorders.

Median section image link courtesy of UCLA Radiology.

Sources:
1 "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
2. "Anatomy of the Human Body" Henry Gray 1918. Philadelphia: Lea & Febiger
Image modified by CAA, Inc. Original image courtesy of bartleby.com