Twelve men from the Soviet Union on a scientific expedition to the remotest part of planet Earth, Antarctica, in 1961, found themselves on the horn of an incredible dilemma. One of their number, the expedition doctor, suddenly became acutely stricken with appendicitis. What to do? No one else was medically trained and outside medically help was thousands of kilometres away, the patient couldn’t be transported there and waiting would prove fatal. So the surgeon, Leonid Rogozov, did the only thing he could do to try to save his own life…as mind-numbingly inconceivable as it sounds he operated on himself!

Auto-appendectomy was virtually unheard of, let alone performing such an impossibly dangerous procedure in a non-hospital environment, but Dr Rogozov rolled the dice. Firstly, he planned the operation systematically and meticulously (despite being in agonising pain), choosing two members of the expedition to be his surgical assistants, their roles were to hand him surgical instruments and hold a mirror to avail him of a view of his abdomen. The degree to which he prepared the operation exceptionally well can be seen in that he had the foresight to assign a third man to be present in the makeshift operating “theatre” in the event that one of the assistants fainted. As Rogozov needed to stay conscious he submitted only to a local anaesthetic and proceeded slowly in excruciating pain. Finding the inverted view of the mirror more a hinderance than an aid he dispensed with it and operated instead by touch with his bare hands.

Somehow after nearly two hours the doctor succeeded in removing the offending appendix (while noting that its gangrenous appearance indicated it in all likelihood would burst the following day). Operation successfully completed, Rogozov stitched up his gaping wound and even had the presence of mind to instruct the assistants on how to wash the instruments properly and hygienically clean the room, before finally allowing himself a dose of antibiotics and sleeping tablets to induce sleep. After just two weeks rest the extraordinary doctor was, true to form, back at work. Truly remarkable, real Ripley’s “believe it or not” sort of stuff! [Sara Lentati, “The man who cut out his own appendix”, BBC, 05-May-2015, www.bbc.com].

The Antarctic ordeal wasn’t entirely over for Dr Rogozov. Mission completed, the expedition was meant to be picked up by a Soviet vessel about 12 months after the doctor’s self-appendectomy, however exceptionally bad weather and thick sea ice prevented it from getting close enough. Consequently there was a further lengthy delay before all the explorers were eventually evacuated by single-engine aircraft, a distinctly hairy manoeuvre in the treacherous polar conditions. Back in the USSR Leonid Rogozov was hailed as a hero of the Motherland and honoured with the Order of the Red Banner of Labour, although the good doctor did his utmost to shun the huge publicity focused on him, preferring simply to return to his medical clinic work in Leningrad.

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