Biographies Characteristics Analysis

Nikolai Ivanovich Pirogov biography. Nikolai Ivanovich Pirogov Pirogov the father of Russian surgery

Nikolai Ivanovich Pirogov - Russian doctor who made a significant contribution to the development of surgery. He devoted all the years of his life to medicine. It will be quite difficult to talk briefly about Nikolai Ivanovich Pirogov, because his entire biography is filled with achievements that significantly influenced the development of medical science. It was he who created the first atlas of topographic anatomy and the founder of military field surgery. Thanks to the foundations he laid, Russian and then Soviet scientists were able to develop and continue to improve domestic medicine.

Biography of Pirogov

Pirogov was born on November 25, 1810 in Moscow in the family of a treasurer. The future surgeon studied at home with the famous Moscow doctor E. Mukhin. He began to study with young Pirogov because he noticed the boy’s abilities. When Nikolai Ivanovich reached the age of 14, already at such a young age he was able to enter the medical faculty of Moscow University. Studying was easy for Pirogov. The future father of Russian surgery even managed to earn extra money to help his family. A special role in his life was played by his work as a prosector (assistant professor of anatomy) in the anatomical theater. It was there that Pirogov realized that he wanted to become a surgeon.

After graduating from the university, Nikolai Ivanovich was enrolled in Yuryev University in Tartu. In 1833 he defended his doctoral dissertation and became a professor of surgery. In his work, the father of Russian surgery studied and described the location of the abdominal aorta in humans, circulatory disorders during its ligation, circulatory pathways in case of its obstruction, and explained the causes of postoperative complications. After this, Pirogov was sent to the University of Berlin for further studies.

In 1836, Nikolai Ivanovich returned to Russia and was appointed professor of theoretical and practical surgery at the Imperial University of Dorpat. There he wrote an essay "Surgical anatomy of arterial trunks and fascia".

In 1841, Pirogov moved to St. Petersburg and headed the department of surgery at the Medical-Surgical Academy there. He worked in the new city for 10 years. During this period, he created the first surgical clinic in Russia, where he founded a new direction in medicine - hospital surgery. Soon Nikolai Ivanovich is appointed director of the Tool Plant, where he is actively involved in development of surgical instruments.

While in search of the best teaching methods, Pirogov comes to the conclusion that it is necessary to conduct anatomical studies on frozen corpses - “Ice Anatomy”. So the surgeon created a new discipline - topographic anatomy

. Several years of such research allowed Pirogov to create an anatomical atlas “Topographic anatomy, illustrated by sections drawn through the frozen human body in three directions.” Thanks to this, surgeons could perform operations with minimal trauma to the patient. In 1846, the father of Russian surgery became a corresponding member of the Imperial St. Petersburg Academy of Sciences. In 1847, Pirogov went to the Caucasus to join the active army. There he was the first to use bandages soaked in starch for bandaging . There Pirogov was the first in history used ether anesthesia in the field

as anesthesia during an operation (the first operation under anesthesia was performed on February 7, 1847 by Nikolai Ivanovich’s friend F.I. Inozemtsev). In 1853, the Crimean War began. Pirogov was assigned to the active army and sent to Sevastopol. During this war surgeon first used plaster cast , which saved many soldiers from further complications and amputation of limbs. Nikolai Ivanovich was the initiator of the creation of the Sisters of Mercy . He's the one laid the foundations of military field surgery

, including triage of victims at the first dressing station depending on the severity of the wounds. Some had to be operated on immediately, others had to be evacuated to the hospital. This system was also used during the Great Patriotic War. N.N. Burdenko subsequently improved surgical care and the process of removing the wounded from the battlefield. The Russian Empire lost in the Crimean War. Returning to St. Petersburg, Pirogov told Alexander II about the problems in the troops. The emperor was dissatisfied with this statement, and the surgeon fell out of favor. Nikolai Ivanovich was sent to Odessa, where he was appointed trustee of the children's educational district. In this position But this led to a conflict with the authorities, and the surgeon had to leave his post.

In 1862, Nikolai Ivanovich was sent to Germany. There he supervised Russian professor candidates studying. It was at that time that Pirogov was treated by Giuseppe Garibaldi.

Since 1866, the honored surgeon lived on his estate in the village of Vishnya in Vinnitsa. There he opened a hospital, a pharmacy, and gave the land to the peasants. From there he traveled only abroad or to the university in St. Petersburg to give lectures. During the Franco-Prussian War (1870-1871) and the Russian-Turkish War (1877-1878), Pirogov went to the front as a consultant on military medicine and surgery.

In 1881, Nikolai Ivanovich became the fifth honorary citizen of Moscow. In the same year he completed work on “The Diary of an Old Doctor.” On May 24, 1881, N.V. Sklifosovsky diagnosed Pirogov with cancer of the upper jaw. Shortly before death Nikolai Ivanovich proposed a new method of embalming deceased. On November 23, 1881, Pirogov died. His body was embalmed using this technique and placed in a crypt on the estate. The Church approved this action. Today the estate has become a museum, and the body is still there.

Pirogov Nikolay Ivanovich: pedagogical ideas

Pirogov paid special attention to the development of approaches to organizing training. The basic principles were discussed by the surgeon in the article “Issues of Surgery”:

  • Class education is absurd
  • The problem of the existence of discord between school and life
  • The main goal should be to educate highly moral individuals who strive to create the benefits of society

Pirogov proposed rebuilding the education system and focusing on humanism and democracy. Nikolai Ivanovich’s pedagogical views included several principles:

  • Raising a useful citizen for the country
  • Raising a person with a broad moral outlook
  • Education and training in native language
  • Attracting scientists to teach in schools
  • General secular education
  • Respect for the child's personality
  • Autonomy of the Higher School
  • Refusal of early premature specialization of the child. Pirogov believed that this hinders moral education and narrows one’s horizons
  • Condemnation of arbitrariness and barracks regime in educational institutions
  • Instilling in students the skills of independent work
  • Attracting interest in the material
  • Transfer from class to class based on academic performance
  • Consideration of corporal punishment of a child as a means of humiliating the child and useless from the point of view of understanding and evaluating one’s actions

Public education system according to Pirogov:

  • Elementary (primary) school
    Duration of training: 2 years
    Subjects: arithmetic, grammar;
  • There are two types of junior high school:
    Classical pro-gymnasium
    Duration of study: 4 years
    General educational nature;
    Real pro-gymnasium
    Duration of study: 4 years;
  • There are two types of secondary school:
    Classical gymnasium
    Duration of study: 5 years
    General education: Latin, Greek, Russian languages, literature, mathematics;
    Real gymnasium
    Duration of training: 3 years
    Applied nature: professional subjects;
  • Higher education: universities, higher education institutions

Interesting facts from the life of Pirogov and after his death

  • In 1852, Nikolai Ivanovich performed an osteoplastic amputation of the lower leg. This served to develop the doctrine of amputation.
  • The Pirogov were cured by Giuseppe Garibaldi. Only Nikolai Ivanovich was able to detect the bullet in the wound. He recommended not to rush into extraction and wait. The surgeon wrote: “The bullet, sitting near the outer ankle, then approached the hole located near the inner condyle.” Soon the bullet was easily removed.
  • In the 1920s, Pirogov’s crypt was desecrated. A sword (a gift from Franz Joseph) and a pectoral cross were stolen.
  • The outbreak of the Great Patriotic War prevented the planned restoration and embalming of the surgeon's body from being carried out in 1941. The initiator of the restoration of the body was E. I. Smirnov.
  • The Tretyakov Gallery houses a portrait of Pirogov, painted by I. E. Repin.

Pirogov's works

  • "A Complete Course in Applied Anatomy of the Human Body", 1843-1845

Nikolai Pirogov - a surgeon from God

The name of the Russian surgeon and anatomist Nikolai Ivanovich Pirogov is known not only to doctors, but also to all cultured people. Pirogov occupied the same place in the history of surgery as Mendeleev did in the history of chemistry, Pavlov in the history of physiology, and Lobachevsky in the history of mathematics.

Nikolai Pirogov was born in 1810 in Moscow into a poor family of a treasury official. He studied at Kryazhev's private boarding school. The boy loved it when a doctor came to visit them, Uncle Efrem - a famous Moscow doctor, professor at Moscow University, surgeon, anatomist and forensic physician Efrem Mukhin. Mukhin treated the Pirogov family and, of course, paid special attention to little Kolya. After his beloved doctor left, the boy threw a white towel over his shoulders, picked up a straw and, posing as a doctor, began treating the family. So, even in childhood, Pirogov chose his profession. Imperceptibly, childhood fun grew into a real passion for medicine.

In 1824, Nikolai, under the influence of Dr. Mukhin, decided to enter the medical faculty of Moscow University. But the young man was only 14 years old, and they were accepted there from the age of sixteen! He had to take credit for two years. Nikolai Pirogov successfully entered the medical faculty of Moscow University. The young man's student years were spent in conditions quite unfavorable for the development of surgery. There were public demands to stop the “vile and ungodly use of man, created in the image and likeness of the creator, for anatomical preparations.” In Kazan, things came to the burial of the entire anatomical cabinet: coffins were specially ordered, all the preparations were placed in them, and after the funeral service the coffin was carried in a procession to the cemetery. This happened in Russia in the 19th century, although even at the beginning of the 18th century, Tsar Peter himself studied anatomy and bought anatomical preparations abroad, which have been partially preserved to this day. The teaching of anatomy at universities was not carried out on corpses, but, in particular, on handkerchiefs, by tugging the edges of which muscle functions were depicted.

In 1828, Pirogov graduated with honors from the university and defended his Ph.D. thesis. Among his teachers were the anatomist H. I. Loder, clinicians M. Ya. Mudrov, E. O. Mukhin. As the best graduate, Pirogov was sent to the University of Dorpat (now Tartu) to prepare for professorship.

Nikolai wanted to specialize in physiology, but due to the lack of this profile of special training, he chose surgery. In 1829 he received a gold medal from the University of Dorpat for performing a competitive research in the surgical clinic of Professor Moyer. At the age of 22, Pirogov defended his doctoral dissertation. In 1833–1835, to complete his preparation for professorship, he improved his skills in anatomy and surgery in Germany, at the Langenbeck Clinic. Upon returning to Russia, he worked in Dorpat, and in 1836 he became a professor of theoretical and practical surgery at the University of Dorpat.

In 1841, Pirogov created a hospital surgical clinic of the St. Petersburg Medical-Surgical Academy and headed it until 1856, at the same time being the chief physician of the surgical department of the 2nd military land hospital, and from 1846 - director of the Institute of Practical Anatomy created at the Medical-Surgical Academy . When he turned 36 years old, Nikolai Ivanovich became an academician of the Medical-Surgical Academy.

In 1856, due to illness and home circumstances, Pirogov left his service at the academy and accepted an offer to take the position of trustee of the Odessa educational district; from this time begins a ten-year period of his activity in the field of education. Since 1862, Nikolai Ivanovich has been leading young Russian scientists who were preparing in Germany for teaching careers.

Since 1866, Pirogov lived on his estate in the village of Vishnya near Vinnitsa. But as a consultant on military medicine, he traveled to theaters of military operations during the Franco-Prussian (1870–1871) and Russian-Turkish (1877–1878) wars.

The scientific, practical and social activities of N. I. Pirogov brought him world medical fame, undeniable leadership in domestic surgery and nominated him among the largest representatives of European medicine of the mid-19th century. Nikolai Ivanovich worked in various fields of medicine. He made a significant contribution to each of them, which has not yet lost its significance. Despite being almost two centuries old, Pirogov’s works continue to amaze the reader with their originality and depth of thought.

Pirogov’s classic works - “Surgical anatomy of arterial trunks and fascia” (1837), “Complete course of applied anatomy of the human body” with drawings - descriptive-physiological and surgical anatomy (1843–1848) and “Illustrated topographical anatomy of cuts made in three directions through frozen human body" (1852–1859). Each of these works was awarded the Demidov Prize of the St. Petersburg Academy of Sciences and was the foundation of topographic anatomy and operative surgery.

Nikolai Pirogov was the first among Russian scientists to come up with the idea of ​​plastic surgery and the first in the world to put forward the idea of ​​bone grafting. His method of connecting the supporting stump during amputation of the lower leg using the calcaneus is known as the “Pirogov operation”; it served as an impetus for the development of other osteoplastic operations. The extra-abdominal access to the external iliac artery (1833) and the lower third of the ureter proposed by Pirogov also received wide practical application and was named after him.

Nikolai Ivanovich played an exceptional role in developing the problem of pain relief. Anesthesia was proposed in 1846, and the following year Pirogov conducted extensive experimental and clinical testing of the analgesic properties of ether vapor. He studied their effect in experiments on animals using various methods of administration and on volunteers, including himself.

On February 14, 1847, one of the first in Russia, the surgeon performed an operation under ether anesthesia, which lasted only 2.5 minutes; in the same month, for the first time in the world, he operated under rectal ether anesthesia, for which a special apparatus was designed. Pirogov believed that the possibility of using ether anesthesia on the battlefield had been indisputably proven.

Nikolai Ivanovich Pirogov made a significant contribution to the history of asepsis and antisepsis, which, along with anesthesia, determined the success of surgery in the last quarter of the 19th century. The surgeon carried out anti-putrefactive treatment of wounds using iodine tincture and silver nitrate solution, and constantly emphasized the importance of hygienic measures for the treatment of the sick and wounded. Pirogov also tirelessly promoted preventive medicine.

Nikolai Ivanovich Pirogov's reputation as a practical surgeon was brilliant. Even in Dorpat, the young doctor’s operations amazed him with the boldness of his plan and the skill of his execution. At that time, there was no anesthesia, so they tried to do the operations as quickly as possible. For example, Pirogov removed a stone from the bladder or mammary gland in 1.5–3 minutes. During the Crimean War on March 4, 1855, at the main dressing station of Sevastopol, he performed 10 amputations in less than 2 hours. The authority Nikolai Ivanovich Pirogov had among the international medical community is evidenced, in particular, by his invitation for a consultative examination to the German Chancellor Otto Bismarck (1859) and the national hero of Italy Giuseppe Garibaldi (1862). The best European surgeons could not determine the location of the bullet in the body of Garibaldi, wounded at Aspromonte. Pirogov not only removed the bullet, but also cured the famous Italian.

Military medicine owes a lot to Pirogov: he created the scientific foundations of domestic military field surgery and a completely new section of military medicine - the organization and tactics of the medical service. In 1854–1855, during the Crimean War, Nikolai Ivanovich traveled to the sites of military operations and took part in organizing medical support for troops and in treating the wounded. He initiated the involvement of women in caring for the wounded at the front: this is how the sisters of mercy appeared. To familiarize himself with the work of dressing stations, infirmaries and hospitals in combat conditions, he later traveled to Germany (1870) during the Franco-Prussian War and Bulgaria (1877) during the Russian-Turkish War. Later, Pirogov summarized the results of his observations in his works.

Nikolai Ivanovich did not consider combat damage as a simple mechanical violation of the integrity of tissues; he attached great importance in the occurrence and course of combat injuries to general fatigue and nervous tension, lack of sleep and malnutrition, cold, hunger and other inevitable unfavorable factors of the combat situation, contributing to the development of wound complications and the occurrence of a number of diseases among active army soldiers. He spoke about two ways of developing surgery (especially military): expectant-saving and active-preventive. With the discovery and introduction of antisepsis and asepsis into surgical practice, surgery began to develop.

Pirogov is the founder of the doctrine of medical triage. He argued that triaging the wounded by urgency, extent of surgical care, and indications for evacuation was the main means of preventing “confusion and confusion” in medical institutions. To do this, he considered it necessary to have in medical institutions intended to receive the wounded and sick and provide them with qualified assistance, triage and surgical dressing units, as well as a unit for the lightly wounded, and triage hospitals on evacuation routes.

Pirogov’s works on the problems of immobilization and shock were of great importance not only for military field surgery, but also for clinical medicine in general. In 1847, at the Caucasian theater of military operations, he was the first in military field practice to use a fixed starch bandage for complex fractures of the limbs. During the Crimean War, he also applied a plaster cast in the field for the first time (1845). Nikolai Pirogov described the pathogenesis in detail, outlined methods for the prevention and treatment of shock; The clinical picture of shock he described is classic and continues to be mentioned in surgical textbooks. He also described concussion, gaseous tissue swelling, and identified “wound consumption” as a special form of pathology, currently known as wound exhaustion.

Pirogov’s important achievement in the field of medical education is the opening of hospital clinics for 5th year students. He was the first to justify the need to create such clinics and formulate the tasks facing them. In 1841, a medical-surgical clinic began operating at the St. Petersburg Medical-Surgical Academy, and in 1842, the first hospital therapeutic clinic. In 1846, hospital clinics opened at Moscow, Kazan, Kiev and Dorpat universities with the simultaneous introduction of the 5th year of study for medical students. Thus, a reform of higher medical education was carried out, helping to improve the training of doctors.

Nikolai Ivanovich Pirogov sought to spread knowledge among the people and was a supporter of competitions that provided places for more capable and knowledgeable applicants. He defended equal rights to education for all nationalities, large and small, and all classes, strived for the implementation of universal primary education and was the organizer of Sunday schools in Kyiv. In assessing the merits of the head of the department, he gave preference to scientific rather than pedagogical abilities and was deeply convinced that science is driven by method.

The outstanding surgeon died in 1881. After his death, the Society of Russian Doctors was founded in memory of Pirogov, which regularly convened Pirogov congresses. In 1897, in Moscow, a monument to Nikolai Pirogov was erected in front of the building of a surgical clinic on Tsaritsynskaya Street. In the village of Pirogovo (formerly Vishnya), where the crypt with the embalmed body of the surgeon has been preserved, a memorial estate museum has been opened. Over three thousand books and articles are dedicated to Nikolai Ivanovich Pirogov. His works on issues of general and military medicine, upbringing and education continue to attract the attention of scientists, doctors and teachers.

Meaning:

Anatomy became a practical school for Pirogov, which laid the foundation for his further successful surgical activity. His works formed the foundation of topographic anatomy and operative surgery.

Pirogov is rightly called the “father of Russian surgery” - his activities determined the emergence of Russian surgery at the forefront of world medical science. His works on the problems of pain relief, immobilization, bone grafting, shock, wounds and wound complications, on the organization of military field surgery and the military medical service in general are fundamental. His scientific school is not limited to his immediate students: essentially all advanced surgeons of the 2nd half of the 19th century developed an anatomical and physiological direction based on the principles and methods developed by Pirogov.

His initiative in involving women in caring for the wounded, that is, in organizing the Institute of Sisters of Mercy, played an important role in attracting women to medicine and contributed to the creation of the international Red Cross.

Pirogov first

– came up with the idea of ​​plastic surgery,

– used anesthesia in military field surgery,

– applied a plaster cast in the field,

– suggested the existence of pathogenic microorganisms that cause suppuration of wounds.

What they said about him:

“Pirogov created a school. His school is the whole of Russian surgery... it was built by a mass of surgeons - academic, university, zemstvo, city, built by male surgeons, now it is built by female surgeons - and all these surgeons are grouped around the figure of the brilliant Pirogov"(V.A. Oppel).

“If only his pedagogical works remained from Pirogov, he would have remained forever in the history of science.”(N.A. Dobrolyubov).

“...In the darkness of the deep darkness of ignorance, in the darkness of the Russian night, the genius of Pirogov shone like a bright star in the Russian sky, and the radiance of this star, the radiant shine was visible beyond the borders of Russia... Even during the life of Nikolai Ivanovich, the learned European world recognized him, and recognized him not only as great a scientist, but in certain areas his teacher, his leader"(V.I. Razumovsky).

What did he say:

“I believe in hygiene. This is where the true progress of our science lies. The future belongs to preventative medicine. This science, going hand in hand with medicine, will bring undoubted benefit to humanity.”

“Where the spirit of science reigns, great things are done with small means.”

“Every school is famous not for its numbers, but for the glory of its students.”

“War is a traumatic epidemic.”

“It is not medicine, but the administration that plays a role in helping the wounded and sick in the theater of war.”

“The rod corrects only the faint-hearted, who would be corrected by other, less dangerous means.”

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The future great doctor was born on November 27, 1810 in Moscow. His father Ivan Ivanovich Pirogov served as treasurer. He had fourteen children, most of whom died in infancy. Of the six survivors, Nikolai was the youngest.

He was helped to get an education by a family acquaintance - a famous Moscow doctor, professor at Moscow University E. Mukhin, who noticed the boy’s abilities and began to work with him individually. And already at the age of fourteen, Nikolai entered the medical faculty of Moscow University, for which he had to add two years to himself, but he passed the exams no worse than his older comrades. Pirogov studied easily. In addition, he had to constantly work part-time to help his family. Finally, Pirogov managed to get a position as a dissector in the anatomical theater. This work gave him invaluable experience and convinced him that he should become a surgeon.

Having graduated from the university one of the first in academic performance, Pirogov went to prepare for professorship at one of the best at that time in Russia, Yuryev University in the city of Tartu. Here, in the surgical clinic, Pirogov worked for five years, brilliantly defended his doctoral dissertation, and at the age of twenty-six became a professor of surgery. In his dissertation, he was the first to study and describe the location of the abdominal aorta in humans, circulatory disorders during its ligation, circulatory pathways in case of its obstruction, and explained the causes of postoperative complications. After five years in Dorpat, Pirogov went to Berlin to study; the famous surgeons, to whom he went with his head bowed respectfully, read his dissertation, hastily translated into German. He found the teacher who more than others combined everything that he was looking for in a surgeon Pirogov not in Berlin, but in Göttingen, in the person of Professor Langenbeck. The Gottingen professor taught him the purity of surgical techniques.

Returning home, Pirogov became seriously ill and was forced to stop in Riga. As soon as Pirogov got out of his hospital bed, he began to operate. He started with rhinoplasty: he cut out a new nose for the noseless barber. Plastic surgery was followed by inevitable lithotomy, amputation, and tumor removal. Having gone from Riga to Dorpat, he learned that the Moscow department promised to him had been given to another candidate. Pirogov received a clinic in Dorpat, where he created one of his most significant works - “Surgical anatomy of arterial trunks and fascia.”

Pirogov provided a description of the operations with drawings. Nothing like the anatomical atlases and tables that were used before him. Finally, he goes to France, where five years earlier, after the professorial institute, his superiors did not want to let him go. In Parisian clinics, Nikolai Ivanovich does not find anything unknown. It’s curious: as soon as he found himself in Paris, he hurried to the famous professor of surgery and anatomy Velpeau and found him reading “Surgical anatomy of the arterial trunks and fascia.”

In 1841, Pirogov was invited to the department of surgery at the Medical-Surgical Academy of St. Petersburg. Here the scientist worked for more than ten years and created the first surgical clinic in Russia. In it, he founded another branch of medicine - hospital surgery. Nikolai Ivanovich is appointed director of the Tool Plant, and he agrees. Now he is coming up with tools that any surgeon can use to perform an operation well and quickly. He is asked to accept a position as a consultant in one hospital, in another, in a third, and he again agrees. In the second year of his life in St. Petersburg, Pirogov became seriously ill, poisoned by the hospital miasma and the bad air of the dead. I couldn’t get up for a month and a half. He felt sorry for himself, poisoning his soul with sad thoughts about years lived without love and lonely old age. He went through his memory of everyone who could bring him family love and happiness. The most suitable of them seemed to him Ekaterina Dmitrievna Berezina, a girl from a well-born, but collapsed and greatly impoverished family. A hasty, modest wedding took place.

Pirogov had no time - great things awaited him. He simply locked his wife within the four walls of a rented and, on the advice of friends, furnished apartment. Ekaterina Dmitrievna died in the fourth year of marriage, leaving Pirogov with two sons: the second cost her her life. But in the difficult days of grief and despair for Pirogov, a great event happened - his project for the world's first Anatomical Institute was approved by the highest authorities.

On October 16, 1846, the first trial of ether anesthesia took place. In Russia, the first operation under anesthesia was performed on February 7, 1847 by Pirogov’s friend at the professorial institute, Fyodor Ivanovich Inozemtsev.

Soon Nikolai Ivanovich took part in military operations in the Caucasus. Here the great surgeon performed about 10,000 operations under ether anesthesia.

After the death of Ekaterina Dmitrievna, Pirogov was left alone. “I have no friends,” he admitted with his usual frankness. And boys, sons, Nikolai and Vladimir were waiting for him at home. Pirogov twice unsuccessfully tried to marry for convenience, which he did not consider necessary to hide from himself, from his acquaintances, and, it seems, from the girls planned as brides.

In a small circle of acquaintances, where Pirogov sometimes spent evenings, he was told about the twenty-two-year-old Baroness Alexandra Antonovna Bistrom. Pirogov proposed to Baroness Bistrom. She agreed.

When the Crimean War began in 1853, Nikolai Ivanovich considered it his civic duty to go to Sevastopol. He achieved appointment to the active army. While operating on the wounded, Pirogov, for the first time in the history of medicine, used a plaster cast, which accelerated the healing process of fractures and saved many soldiers and officers from ugly curvature of their limbs. On his initiative, a new form of medical care was introduced in the Russian army - nurses appeared. Thus, it was Pirogov who laid the foundations of military field medicine, and his achievements formed the basis for the activities of military field surgeons of the 19th-20th centuries; They were also used by Soviet surgeons during the Great Patriotic War.

After the fall of Sevastopol, Pirogov returned to St. Petersburg, where, at a reception with Alexander II, he reported on the incompetent leadership of the army by Prince Menshikov. The Tsar did not want to listen to Pirogov’s advice, and from that moment Nikolai Ivanovich fell out of favor. He was forced to leave the Medical-Surgical Academy. Appointed trustee of the Odessa and Kyiv educational districts, Pirogov is trying to change the school education system that existed in them. Naturally, his actions led to a conflict with the authorities, and the scientist again had to leave his post. In 1862-1866. supervised young Russian scientists sent to Germany. At the same time, Giusepe Garibaldi successfully operated on him. Since 1866 he lived on his estate in the village. Cherry, where he opened a hospital, a pharmacy and donated land to the peasants. He traveled from there only abroad, and also at the invitation of St. Petersburg University to give lectures. By this time, Pirogov was already a member of several foreign academies. As a consultant in military medicine and surgery, he went to the front during the Franco-Prussian (1870-1871) and Russian-Turkish (1877-1878) wars.

In 1879-1881. worked on “The Diary of an Old Doctor,” completing the manuscript shortly before his death. In May 1881, the fiftieth anniversary of Pirogov’s scientific activity was solemnly celebrated in Moscow and St. Petersburg. However, at this time the scientist was already terminally ill, and in the summer of 1881 he died on his estate. But by his own death he managed to immortalize himself. Shortly before his death, the scientist made another discovery - he proposed a completely new method of embalming the dead. Pirogov’s body was embalmed, placed in a crypt and is now preserved in Vinnitsa, within the boundaries of which the estate was turned into a museum. I.E. Repin painted a portrait of Pirogov, located in the Tretyakov Gallery. After Pirogov’s death, the Society of Russian Doctors was founded in his memory, which regularly convened Pirogov congresses. The memory of the great surgeon continues to this day. Every year on his birthday, a prize and medal are awarded in his name for achievements in the field of anatomy and surgery. The 2nd Moscow, Odessa and Vinnitsa medical institutes are named after Pirogov.





























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Biography of Pirogov Nikolai Ivanovich.

The last orders have been given. The voices in the house fell silent.

Alexandra Antonovna sat comfortably in a large chair in the living room, put a stack of letters on her lap and began to read. Congratulations, wishes of happiness to the newlyweds, promises that the entire family of distant relatives will certainly be at the wedding. Here is a letter from Nikolai. In the letter, Nikolai asked the bride to look in advance for the sick and disabled in the area who need help. “Work will sweeten the first season of love,” he wrote to the bride. Alexandra smiled. If he had been even a little different, he would never have become the man she fell in love with - the surgical genius Nikolai Ivanovich Pirogov.

People called Nikolai Ivanovich “the wonderful doctor.” The “miracles” that this remarkable Russian scientist, surgeon, and anatomist performed for half a century were not only a manifestation of his high talent. All of Pirogov’s thoughts were guided by love for ordinary people and for his Motherland. His scientific works on the anatomy of the human body and innovations in surgery brought him worldwide fame.

Nikolai Pirogov was born in November 1810 in Moscow. The father of the family, Ivan Ivanovich Pirogov, used his modest salary as treasurer to feed his wife and six children, among whom Nikolai was the youngest. And although the Pirogov family did not live in poverty, everyone in the household knew how to count money.

From childhood, little Kolya knew that someday he would become a doctor. After the doctor Efrem Osipovich Mukhin looked into the Pirogovs’ house, who was treating one of his children for a cold, Nikolai was fascinated by this profession. For days on end, Kolya tormented his family, listening to them with a toy tube and prescribing “treatment.” Parents were confident that this hobby would soon pass: at that time it was believed that medicine was too low an occupation for noble children.

Nikolai received his primary education at home, and when he turned 10, his parents sent him to study at a boarding school for boys. It was planned that Kolya would finish his studies at the boarding school at the age of 16, but it turned out differently. My father’s colleague went missing in the Caucasus along with 30 thousand government rubles. The money was listed on Major Pirogov, and the shortage was recovered from him. Almost all the property went under the hammer - the house, furniture, dishes. There was no money to pay for Nikolai’s education at the boarding school. A friend of the Pirogov family, doctor Mukhin, offered to facilitate the boy’s admission to the Faculty of Medicine, bypassing the rule to admit students from 16 years of age. Nikolai used a trick and added two years to himself. He passed the entrance exam along with everyone else, because he knew much more than was required in those years to enter the university.

The father cried in front of the icons: “I treated my boy badly. Is he, a noble son, born for such a low field? - but there was no choice. And Nikolai was simply delighted that he would be allowed to practice medicine. He studied easily, but he also had to think about his daily bread.

When the father died, the house and almost all the property went to pay off debts - the family was immediately left without a breadwinner and without shelter. Nikolai sometimes had nothing to wear to lectures: his boots were thin, and his jacket was such that he was ashamed to take off his overcoat. So, subsisting on bread and kvass. At the age of less than 18, Nikolai graduated from the university, at 22 he became a doctor of science, and at 26 he became a professor of medicine. His dissertation on surgery on the abdominal aorta was translated into all European languages, and venerable surgeons admired his work. After graduating from the university, a young but promising doctor Nikolai Pirogov went to the Estonian town of Tartu to prepare his dissertation at the department of Yuryev University. There was nothing to live on, and Pirogov got a job as a dissector. Here, in the surgical clinic of the university, Pirogov worked for five years and performed the first large scientific study, “On ligation of the abdominal aorta.” He was then twenty-two.

Subsequently, he said that working in the anatomical theater gave him a lot - it was there that he began to study the location of internal organs relative to each other (at that time doctors did not pay too much attention to anatomy). Well, in order to improve his skills as a surgeon, Pirogov did not disdain dissecting sheep. Pirogov performed a huge number of operations in those years in clinics, hospitals and clinics. The surgeon's practice grew rapidly, and his fame outstripped it.

Only four years passed after defending his dissertation, and the young scientist so far surpassed his peers in the breadth of knowledge and brilliant technique in performing operations that he was able to rightfully become a professor at the surgical clinic of Yuryev University at the age of 26. Here, in a short period of time, he wrote remarkable scientific works on surgical anatomy. Pirogov created topographic anatomy. In 1837-1838 he published an atlas that provided all the information a surgeon needed to accurately locate and ligate any artery during an operation. The scientist developed rules for how a surgeon should move a knife from the surface of the body into the depths without causing unnecessary damage to the tissues. This hitherto unsurpassed work put Pirogov in one of the first places in world surgery. His research became the basis for everything that followed.

In 1841, the young scientist was invited to the Department of Surgery at the Medical-Surgical Academy in St. Petersburg. It was one of the best educational institutions in the country. Here, at the insistence of Pirogov, a special clinic was created, which was called “Hospital Surgical”. Pirogov became the first professor of hospital surgery in Russia. The desire to serve his people and true democracy were the main character traits of the great scientist.

However, in the series of endless stitches there was room for quite romantic thoughts. The bright image of Natalie Lukutina, the daughter of godfather Pirogov, no, no, and distracted the young surgeon from thinking about the incisions and bleeding. But disappointment in first love came very quickly. Finding himself on a visit to Moscow, Pirogov carefully curled his thinning hair using medical curling irons and went to the Lukins. During dinner, he entertained Natalie with conversations about his life in Estonia. However, to Nikolai’s great disappointment, she suddenly said: “Nicolas, enough about the corpses. This, by golly, is disgusting!” Offended by the lack of understanding, Pirogov forever forgot the way to the Lukutins’ house.

Several years after a disagreement with Natalie, Nikolai finally decided to get married. Someone must take care of him! After all, he is already a professor and it is no good for him to walk around in a blood-spattered frock coat and a stale shirt. Pirogov’s chosen one was young Ekaterina Berezina. As a doctor, he liked her blooming appearance and excellent health. Having married 20-year-old Katya, 32-year-old Nikolai immediately took up her education - he believed that this would make his wife happy. He forbade her to waste time on visits to friends and balls, removed all books about love from the house, and in return provided his wife with medical articles. In 1846, after four years of marriage, Ekaterina Berezina died, leaving Pirogov with two sons. There were rumors that Pirogov killed his wife with his science, but in fact Berezina died due to bleeding during her second birth. Pirogov tried to operate on his wife, but even he was unable to help her. For six months after the death of his wife, Pirogov did not touch a scalpel - he helped so many patients whom others considered hopeless, but was unable to save Katya. And yet, over time, the pain dulled a little, and he returned to surgery.

Three years after the death of Ekaterina Berezina, Nikolai Ivanovich realized that he needed to marry a second time. The sons needed a kind mother, and it was difficult for him to cope with the household. This time, Pirogov approached the choice of a bride even more thoroughly. He wrote down on paper all the qualities that he would like to see in his wife. When he read out this list at a reception in one of the social drawing rooms, the ladies whispered indignantly. But suddenly the young Baroness Bistorm rose from her chair and declared that she completely agreed with Pirogov’s opinion about the qualities that an ideal wife should have. Pirogov did not delay the marriage proposal - Alexandra Bistorm really understood him like no one else, and in July 1850, 40-year-old Nikolai Pirogov married 25-year-old Alexandra Bistorm.

Three years after the wedding, Nikolai Ivanovich had to part with his young wife for a while. When the Crimean War began in 1853 and the glory of the heroic defenders of Sevastopol spread throughout the country, Pirogov decided that his place was not in the capital, but in the besieged city. He achieved appointment to the active army. Pirogov worked almost around the clock. During the war, doctors were forced to resort very often, even with simple fractures, to amputation of limbs. Pirogov was the first to use a plaster cast. She saved many soldiers and officers from a disfiguring operation.

Six years before the defense of Sevastopol (in 1847), Pirogov took part in military operations in the Caucasus. The village of Salty became the place where, for the first time in the history of wars, 100 operations were performed, during which the wounded were euthanized with ether. In Sevastopol, 10,000 operations have already been performed under anesthesia. Pirogov taught doctors especially a lot in the treatment of wounds. Nothing was yet known about vitamins, and he already claimed that carrots, yeast and fish oil were very helpful for the wounded and sick. In Pirogov’s time, they did not know that germs transmitted infection from person to person; Doctors did not understand why, for example, wounds suppurate after surgery. Pirogov used disinfectants - iodine and alcohol - during his operations, so the wounded he treated were less likely to suffer from infections. He was the first to use ether for anesthesia in surgery and created a number of new surgical methods that bear his name.

Pirogov's works brought Russian surgery to one of the first places in the world.

The First Moscow Medical Institute is named after Pirogov.

Pirogov’s main merit during the Crimean War was in organizing a clear military medical service. Pirogov proposed a well-thought-out system for evacuating the wounded from the battlefield. He also created a new form of medical care in war - he proposed using the work of nurses, i.e. anticipated the creation of the international organization of the Red Cross. Much of what he did in those early years was used by Soviet doctors during the Great Patriotic War.

The people knew and loved Pirogov. He treated everyone: from a poor peasant to members of the royal family - and always did it selflessly. One day Pirogov was invited to the bedside of the wounded hero of the Italian people, Garibaldi. None of the most famous doctors in Europe could find the bullet lodged in his body. Only a Russian surgeon managed to remove the bullet and cure the famous Italian. The wounded called him nothing more than “a wonderful doctor,” and there were legends at the front about his skill as a surgeon. One day the body of a dead soldier was brought into Pirogov’s tent. The body was missing its head. The soldiers explained that they were carrying the head behind them, now Professor Pirogov would somehow “tie it up”, and the dead soldier would return to duty again.

Soon after returning from Sevastopol to the capital, Pirogov left the Medical-Surgical Academy and devoted himself entirely to teaching and social activities. He was appointed trustee of the Odessa and then the Kyiv educational district. As a teacher, Pirogov published a number of essays. They aroused great interest. The Decembrists read them in exile. Pirogov called for making knowledge accessible to the people - “publishing science.” But Pirogov fell out of favor with the authorities - at every corner he tried to expose the quartermasters who were stealing soldiers’ rations, sheets, lint and medicine, and Nikolai Ivanovich’s accusatory speeches were not in vain. The great scientist boldly declared that all classes and all nationalities, including the smallest, have the right to education. The scientist's new views on school and education caused furious attacks from officials, and he had to resign. In 1861, he settled on his estate "Vishnya" near Vinnitsa and lived there until the end of his life.

In May 1881, the 50th anniversary of Pirogov’s scientific and social activities was solemnly celebrated. On this day he was presented with an address from St. Petersburg University, written by I.M. Sechenov. For his love for the Motherland, tested by hard, selfless work, for the steadfastness and independence of the convictions of a truly honest person, for his talent and loyalty to his obligations, Sechenov called Pirogov “a glorious citizen of his land.” Talent and a great heart made the name of the patriotic scientist immortal: the streets and squares of many cities, scientific institutes bear his name, the Pirogov Prize is awarded for the best works in surgery, the so-called “Pirogov Readings” are held annually on the day of the scientist’s memory, and Pirogov’s house, where it has spent recent years converted into a museum.

N.I. Pirogov was a passionate smoker and died of a cancerous tumor in his mouth. The great surgeon was 71 years old. His body, with the consent of the church authorities, was embalmed with a special composition developed by the scientist shortly before his death. The embalming was carried out entirely on the initiative of the widow - Pirogov himself wanted to be buried in the ground under the linden trees of his estate.

Above the tomb is the Church of St. Nicholas. The tomb is located at some distance from the estate: the wife was afraid that the descendants might sell Pirogov’s estate and therefore purchased another plot of land. Pirogov’s remains, untouched by time, are still kept in the museum named after him in the Ukrainian city of Vinnitsa, in the family tomb. Alexandra Bistorm survived her husband by 21 years.

On September 9, 1947, the opening of the memorial museum-estate of N.I. took place. Pirogov, created in the village of Sheremetka (later Pirogovo), Vinnytsia region. Here in 1861-1881. there was the estate “Cherry”, the estate of the “first surgeon of Russia”, where he spent the last years of his life. However, only a few original exhibits from the former museum of N.I. were transferred to the memorial estate museum. Pirogov, who at one time was in St. Petersburg. Most of the Pirogov rarities exhibited in the estate museum were presented in the form of copies.

Internet resources used:

yaca.yandex.ru/yca/cat/Culture/Organizations/Memorial_museum/2.html

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news.yandex.ru/people/pirogov_nikolaj.html ·

http://www.hist-sights.ru/node/7449