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Kobayashi S, Matsushima T, Sakai T, et al. Evolution of microneurosurgical anatomy with special reference to the history of anatomy, surgical anatomy, and microsurgery: historical overview. Neurosurg Rev. 2021;doi: 10.1007/s10143-021-01597-z.
Kobayashi, S., Matsushima, T., Sakai, T., Matsushima, K., Bertalanffy, H., & Rutka, J. T. (2021). Evolution of microneurosurgical anatomy with special reference to the history of anatomy, surgical anatomy, and microsurgery: historical overview. Neurosurgical review, . https://doi.org/10.1007/s10143-021-01597-z
Kobayashi, Shigeaki, et al. "Evolution of microneurosurgical anatomy with special reference to the history of anatomy, surgical anatomy, and microsurgery: historical overview." Neurosurgical review vol. (2021). doi: https://doi.org/10.1007/s10143-021-01597-z
Kobayashi S, Matsushima T, Sakai T, Matsushima K, Bertalanffy H, Rutka JT. Evolution of microneurosurgical anatomy with special reference to the history of anatomy, surgical anatomy, and microsurgery: historical overview. Neurosurg Rev. 2021 Jul 07; doi: 10.1007/s10143-021-01597-z. Epub 2021 Jul 07. PMID: 34232407.
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Neurosurg Rev. 2021 Jul 07; doi: 10.1007/s10143-021-01597-z. Epub 2021 Jul 07.

Evolution of microneurosurgical anatomy with special reference to the history of anatomy, surgical anatomy, and microsurgery: historical overview.

Neurosurgical review

Shigeaki Kobayashi, Toshio Matsushima, Tatsuo Sakai, Ken Matsushima, Helmut Bertalanffy, James T Rutka

Affiliations

  1. Stroke and Brain Center, Aizawa Hospital, Honjo 2-5-1, Matsumoto, 390-8510, Japan. [email protected].
  2. Neuroscience Center, Fukuoka Sanno Hospital, Fukuoka, Japan.
  3. Department of Physical Therapy, Faculty of Health Science, Juntendo University, Tokyo, Japan.
  4. Department of Neurosurgery, Tokyo Medical University, Tokyo, Japan.
  5. International Neurosurgery Institute, Hannover, Germany.
  6. Department of Surgery, University of Toronto, Toronto, Canada.

PMID: 34232407 DOI: 10.1007/s10143-021-01597-z

Abstract

This article reviews the evolution of microneurosurgical anatomy (MNA) with special reference to the development of anatomy, surgical anatomy, and microsurgery. Anatomy can be said to have started in the ancient Greek era with the work of Hippocrates, Galen, and others as part of the pursuit of natural science. In the sixteenth century, Vesalius made a great contribution in reviving Galenian knowledge while adding new knowledge of human anatomy. Also in the sixteenth century, Ambroise Paré can be said to have started modern surgery. As surgery developed, more detailed anatomical knowledge became necessary for treating complicated diseases. Many noted surgeons at the time were also anatomists eager to spread anatomical knowledge in order to enhance surgical practice. Thus, surgery and anatomy developed together, with advances in each benefiting the other. The concept of surgical anatomy evolved in the eighteenth century and became especially popular in the nineteenth century. In the twentieth century, microsurgery was introduced in various surgical fields, starting with Carl O. Nylen in otology. It flourished and became popularized in the second half of the century, especially in the field of neurosurgery, following Jacobson and Suarez's success in microvascular anastomosis in animals and subsequent clinical application as developed by M.G. Yasargil and others. Knowledge of surgical anatomy as seen under the operating microscope became important for surgeons to perform microneurosurgical procedures accurately and safely, which led to the fuller development of MNA as conducted by many neurosurgeons, among whom A.L. Rhoton, Jr. might be mentioned as representative.

Keywords: Anatomy; Microneurosurgery; Microneurosurgical anatomy; Microsurgery; Surgical anatomy

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