The genesis of neurosurgery and the evolution of the neurosurgical operative environment: Part I - Prehistory to 2003

Charles Y. Liu, Michael L J Apuzzo, James Tait Goodrich, Donlin M. Long, Norman H. Horwitz

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

DESPITE ITS SINGULAR importance, little attention has been given to the neurosurgical operative environment in the scientific and medical literature. This article focuses attention on the development of neurosurgery and the parallel emergence of its operative setting. The operative environment has, to a large extent, defined the "state of the art and science" of neurosurgery, which is now undergoing rapid reinvention. During the course of its initial invention, major milestones in the development of neurosurgery have included the definition of anatomy, consolidation of a scientific basis, and incorporation of the practicalities of anesthesia and antisepsis and later operative technical adjuvants for further refinement of action and minimalism. The progress, previously long and laborious in emergence, is currently undergoing rapid evolution. Throughout its evolution, the discipline has assimilated the most effective tools of modernity into the operative environment, leading eventually to the entity known as the operating room. In the decades leading to the present, progressive minimalization of manipulation and the emergence of more refined operative definition with increasing precision are evident, with concurrent miniaturization of attendant computerized support systems, sensors, robotic interfaces, and imaging devices. These developments over time have led to the invention of neurosurgery and the establishment of the current state-of-the-art neurosurgical operating room as we understand it, and indeed, to a broader definition of the entity itself. To remain current, each neurosurgeon should periodically reconsider his or her personal operative environment and its functional design with reference to modernity of practice as currently defined.

Original languageEnglish (US)
Pages (from-to)3-19
Number of pages17
JournalNeurosurgery
Volume52
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

Fingerprint

Neurosurgery
Operating Rooms
Antisepsis
Miniaturization
Robotics
Anatomy
Anesthesia
Equipment and Supplies

Keywords

  • History
  • Imaging
  • Microsurgery
  • Modernity
  • Neurosurgery
  • Operating room
  • Operative minimalism

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

The genesis of neurosurgery and the evolution of the neurosurgical operative environment : Part I - Prehistory to 2003. / Liu, Charles Y.; Apuzzo, Michael L J; Goodrich, James Tait; Long, Donlin M.; Horwitz, Norman H.

In: Neurosurgery, Vol. 52, No. 1, 01.01.2003, p. 3-19.

Research output: Contribution to journalArticle

Liu, Charles Y. ; Apuzzo, Michael L J ; Goodrich, James Tait ; Long, Donlin M. ; Horwitz, Norman H. / The genesis of neurosurgery and the evolution of the neurosurgical operative environment : Part I - Prehistory to 2003. In: Neurosurgery. 2003 ; Vol. 52, No. 1. pp. 3-19.
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