高木兼寛と鼠径部ヘルニア手術

摘要

The relationship between Kanehiro Takaki, the founder of The Jikei Unviersity School of Medicine, and inguinal hernia surgery was reviewed. In 1889, Takagi reported the first radical operation for reducible inguinal hernia in Japan. His operation was performed with the patient under general anesthesia through chloroform and with the aseptic technique through carbolic acid oil. The hernia sac was resected and the suture closure was made at its high level, which were new techniques never before used in any country. At that time, modern surgery had just started, because general anesthesia and the antiseptic system had just been developed. While in London, Takaki had studied these techniques and advanced operative procedures. After returning home, he helped lay the foundation for modern surgery in Japan.%第15回日本ヘル二ア学会学術集会を，2017年6 月2日と3日の両日に，東京ドームホテルにおい て会長として主催した.会長講演では，鼠径部へ ルニア診療の歴史，現況，問題点，さらには将来 について言及した.鼠径部ヘルニア治療の近代史 をひもとくと，本邦で最初に還納性鼠径部ヘル二 アに対する根治手術をおこなったのは，学祖高木 兼寛（1849-1920，以下，高木と略す）であること を知り得た.僥倖にめぐりあうことの喜びを感じ るとともに，自らの浅学を恥じるものであるが， 良い機会なので，高木の施行した鼠径部ヘル二ア 手術とその時代背景，ならびに本邦の外科学と医 学への貢献について述べたい.