Erich effort

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Erich Mühe (born May 23, 1938 ; † November 20, 2005 ) was a German surgeon . In 1985 he performed the world's first laparoscopic cholecystectomy (removal of the gallbladder).

biography

Mühe received his doctorate in 1966 and qualified as a professor in 1973. In 1974 he became senior physician at the University Hospital Erlangen . From 1977 he was the first senior physician in charge of the surgical clinic and deputy to the clinic director. Erich Mühe received his professorship in 1979. In 1982 he became chief physician of the district hospital in Böblingen .

At an early stage, Mühe was fascinated by Kurt Semm's pioneering work in the field of minimally invasive (laparoscopic) surgery and developed the concept that gallbladder operations could also be performed laparoscopically. He learned the laparoscopic techniques under the guidance of the gynecologist Willi-Reinhart Braumann. However, Mühe realized that the surgical instruments developed by Semm were not suitable for maneuvering a swollen, inflamed gallbladder through the narrow surgical channel. In Böblingen he then had his own instrument, the “galloscope”, designed according to his ideas in collaboration with the WISAP company. He performed the world's first laparoscopic cholecystectomy on September 12, 1985 in the Böblingen district hospital. Mühe described his surgical technique in an article in the journal Endoscopy in 1992 .

Mühe was particularly impressed by the much faster recovery of his patients after the laparoscopic procedure compared to the classic open abdominal surgery. In the following years Mühe optimized his surgical technique and by March 1987 had performed 97 endoscopic CCEs. He presented his technology at the conference of the German Society for Surgery from 23.-26. April 1986 in Munich, as well as at the conference of the Association of Lower Rhine-Westphalian Surgeons in Cologne from 9-11. October 1986 before. At both events, he met with widespread rejection from his specialist colleagues and his method was judged to be too dangerous. Later biographers judged that Mühe was ahead of his time as a surgeon and was not really taken seriously as an outsider.

In 1987 there was a complication during an operation. The patient had to be transferred to the intensive care unit and ultimately died as a result of the operation. Mühe then had to defend himself against the charge of negligent homicide in a year-long court case, but was acquitted.

From the late 1980s, the technique of laparoscopic cholectomy spread increasingly - initially more in the United States than in Germany. On March 17, 1987, the French surgeon Phillipe Mouret performed the first laparoscopic cholecystectomy in France in Lyon . Both Mühe and Mouret did not find out about each other's work until later in the 1990s. The first such operation in the United States was performed by JB McKernan and WB Saye on June 22, 1988 in Marietta, Georgia . The American Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) honored the French surgeons Perissat, Berci, Cuschieri, Dubois, and Moure for their early work on laparoscopic CCE at their annual meeting in Atlanta in 1990 . The contributions of Mühes, who was not present, were not mentioned. Only in the following years did he gain increasing recognition. On the SAGES conference in San Antonio ( Texas ) in April 1999 its first implementation was a laparoscopic CCE widely recognized and effort was given the opportunity, more than one thousand participants from around the world in a fixed and plenary lecture entitled The First Laparoscopic Cholecystectomy: Overcoming the Roadblocks on the Road to the Future to describe his techniques at the time.

In 1992 the German Society for Surgery awarded him its honorary award.

In his place of residence Böblingen Erich Mühe was politically active in the CDU . He was also an avid cyclist for many years and died of the consequences of a serious bicycle accident.

Today, laparoscopic cholecystectomy is the treatment of choice for symptomatic gallstone disease. In 2014, around 175,000 cholecystectomies were performed in Germany. An estimated 90 percent of these were performed using the laparoscopic technique.

Publications (selection)

  • A new explanation of the toxicoses of pregnancy. Erlangen-Nuremberg 1966. (Dissertation)
  • Postoperative thromboembolism prophylaxis by increasing venous flow velocities: clinical and experimental study. Erlangen 1973. (Habilitation thesis)

literature

  • GS Litynski: Erich Mühe and the rejection of laparoscopic cholecystectomy (1985): a surgeon ahead of his time. In: JSLS. 1998; 2 (4): 341-346, PMID 10036125 .
  • W. Reynolds: The First Laparoscopic Cholecystectomy. In: JSLS. 2001; 5 (1): 89-94, PMID 11304004 .

Individual evidence

  1. ↑ a b Craig A Blum, David B Adams: Who did the first laparoscopic cholecystectomy? In: J Minim Access Surg . tape 7 , no. 3 , September 2011, p. 165-168 , doi : 10.4103 / 0972-9941.83506 (English).
  2. ↑ Victoria Stern: The first Lap Chole in Europe: A 'Criminal' Is Vindicated. General Surgery News, June 10, 2013, accessed October 14, 2017 .
  3. ↑ Trouble E: Long-term follow-up after laparoscopic cholecystectomy . In: Endoscopy . tape 24 , no. 9 , November 1992, pp. 754-8 , doi : 10.1055 / s-2007-1009119 (English).
  4. ^ Mühe, E .: The first cholecystectomy through a laparoscope. German Society for Surgery, Munich, April 23–26, and Mühe, E .: Cholecystectomy without laparotomy. 153rd meeting of the Association of Lower Rhine-Westphalian Surgeons, Cologne, 9-11; Quoted in: Hartel, Wilhelm, Ungeheuer, Edgar (ed.): Surgery and its specialties: a symbiosis . 108th Congress of the German Society for Surgery 16. – 20. April 1991, Munich. Springer-Verlag, Berlin, Heidelberg 1991, ISBN 978-3-642-95662-1 , pp. 422 , doi : 10.1007 / 978-3-642-95662-1 .
  5. ^ Litynski GS: Erich Mühe and the Rejection of Laparoscopic Cholecystectomy (1985): A Surgeon Ahead of His Time. In: Journal of the Society of Laparoendoscopic Surgeons . tape 2 , no. 4 , 1998, pp. 341-346 (English).
  6. ↑ Walker Reynolds: The First Laparoscopic Cholecystectomy. Profiles in laparoscopy . In: Journal of the Society of Laparoendoscopic Surgeons . tape 5 , 2001, p. 89-94 (English).
  7. ^ Prize winners of the DGCH. German Society for Surgery, accessed on October 14, 2017 .
  8. ↑ The father of buttonhole surgery is dead. District newspaper Böblinger Bote, accessed on October 14, 2017 .
  9. ↑ Federal evaluation for data collection year 2014 12/1 - Cholecystectomy. AQUA - Institute for Applied Quality Promotion and Research in Health Care GmbH, May 19, 2015, accessed on October 14, 2017 .
personal data
SURNAME Trouble, Erich
BRIEF DESCRIPTION German surgeon
DATE OF BIRTH May 23, 1938
DATE OF DEATH November 20, 2005