Leonardo Gigli
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Leonardo Gigli (30 April 1863,
Sesto Fiorentino Sesto Fiorentino (), known locally as just Sesto, is a municipality (''comune'') in the Metropolitan City of Florence, Tuscany, central Italy. History The oldest known human settlement in the area dates from the Mesolithic (c. 9,000 years ago) ...
– 4 April 1908,
Florence Florence ( ; it, Firenze ) is a city in Central Italy and the capital city of the Tuscany region. It is the most populated city in Tuscany, with 383,083 inhabitants in 2016, and over 1,520,000 in its metropolitan area.Bilancio demografico an ...
) was an Italian
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
and
obstetrician Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
remembered for describing Gigli's operation, and for designing the
Gigli saw A Gigli saw is a flexible wire saw used by surgeons for bone cutting. A Gigli saw is used mainly for amputation, where the bones have to be smoothly cut at the level of amputation.Kojiro Wada, Kentaro Mori, Terushige Toyooka, Naoki Otani, Kazuya ...
to simplify its performance.


Biography

Leonardo Gigli was born in a
villa A villa is a type of house that was originally an ancient Roman upper class country house. Since its origins in the Roman villa, the idea and function of a villa have evolved considerably. After the fall of the Roman Republic, villas became s ...
in the town of Sesto Fiorentino on 30 April 1863. He attended school and
university A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, t ...
in Florence, graduating in
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...
and
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
in 1889. He initially worked as assistant to the
professor Professor (commonly abbreviated as Prof.) is an Academy, academic rank at university, universities and other post-secondary education and research institutions in most countries. Literally, ''professor'' derives from Latin as a "person who pr ...
of clinical
paediatric surgery Pediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults. History Pediatric surgery arose in the middle of the 1879 century as the surgical care of birth defects requ ...
, and became assistant in clinical
obstetrics and gynaecology Obstetrics and Gynaecology (also spelled as Obstetrics and Gynecology; abbreviated as Obs and Gynae, O&G, OB-GYN and OB/GYN) is the medical specialty that encompasses the two subspecialties of obstetrics (covering pregnancy, childbirth, and t ...
in Florence under Professor Domenico Chiara in November 1889. When Chiara died in 1891 Gigli left Italy, travelling to
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
to work under Tarnier, then to
London London is the capital and largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary down to the North Sea, and has been a majo ...
and
Wrocław Wrocław (; german: Breslau, or . ; Silesian German: ''Brassel'') is a city in southwestern Poland and the largest city in the historical region of Silesia. It lies on the banks of the River Oder in the Silesian Lowlands of Central Europe, rou ...
where he worked under Professor
Heinrich Fritsch Heinrich Fritsch (5 December 1844 – 12 May 1915) was a German gynecologist and obstetrician who was a native of Halle an der Saale. He studied medicine at the Universities of Tübingen, Würzburg and Halle. He became a member of Suevia ...
from November 1892 to June 1893. During his time in Wrocław, he was also able to attend surgery with Mikulicz; here he first designed the wire saw which was manufactured by the Haertel company. He wrote about the use of this saw, which became known as the Gigli saw, to perform lateral
pubiotomy Symphysiotomy is an outdated surgical procedure in which the cartilage of the pubic symphysis is divided to widen the pelvis allowing childbirth when there is a mechanical problem. It is also known as pelviotomy, synchondrotomy. Introduction S ...
(Gigli's operation) to assist in
obstructed labour Obstructed labour, also known as labour dystocia, is the baby not exiting the pelvis because it is physically block during childbirth although the uterus contracts normally. Complications for the baby include not getting enough oxygen which may ...
in July 1893 and again in October 1894 in the ''Annals of Obstetrics and Gynaecology of Milan''. He returned to Florence in March 1894 to work at the
Hospital of Santa Maria Nuova The Hospital of Santa Maria Nuova (i.e. ''Ospedale di Santa Maria Nuova'' in Italian) is the oldest hospital still active in Florence, Italy. History and artistic profile Origins The hospital was founded in 1288 by Folco Portinari, the father ...
, and continued as a proponent of the lateral pubiotomy using the wire saw despite the lack of support from colleagues in Italy. He also described the use of his saw for cutting other bones, excepting the
skull The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, the ...
, in 1897; Professor Alfred Obalinski of
Kraków Kraków (), or Cracow, is the second-largest and one of the oldest cities in Poland. Situated on the Vistula River in Lesser Poland Voivodeship, the city dates back to the seventh century. Kraków was the official capital of Poland until 1596 ...
then described its use for
craniotomy A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain. Craniotomies are often critical operations, performed on patients who are suffering from brain lesions, such as tumors, blood clots ...
in the same year. In 1899, he became director of the Santa Maria Nuova Hospital. He resigned from this post in 1901 to work in private practice and to concentrate on scientific work, having never received a university appointment. He died at home in Florence on 4 April 1908 of
pneumonia Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity ...
at the age of 44.


Legacy

Although Gigli's operation, the lateral pubiotomy, is rarely performed today, the Gigli saw is still used to perform
amputation Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on indi ...
s and cranial flaps, and to section the sternum when performing an emergency clamshell thoracotomy.


The Gigli Archive and Library

The Library of the
Museo Galileo Museo Galileo, the former ''Istituto e Museo di Storia della Scienza'' (Institute and Museum of the History of Science) is located in Florence, Italy, in Piazza dei Giudici, along the River Arno and close to the Uffizi Gallery. The museum, dedicate ...
hosts an archival fond and a librarian fond named after Leonardo Gigli. The first gathers the personal correspondence (approximately 320 letters and postcards) and the scientific correspondence (approximately 300 letters), as well as documents attesting Gigli’s professional training and many scientific writings and notes. Those allow the reader to reconstruct the author’s progression, particularly for what concerns the development of the surgical practice adopted by Gigli in the obstetrical and gynaecological field, with the use of the
wire saw A wire saw is a saw that uses a metal wire or cable for mechanical cutting of bulk solid material such as stone, wood, glass, ferrites, concrete, metals, crystals etc.. Industrial wire saws are usually powered. There are also hand-powered surviva ...
. The second fond is made of approximately 200 works dealing with medicine, and more precisely with
obstetrics Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgi ...
and
gynaecology Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined are ...
, mostly in Italian and German language. Both fonds were donated to the Institute and Museum of History of Science, now Museo Galileo, by Leonardo Gigli’s brother Ottavio in 1954 and grandson Fulvio in 2003, together with some of Gigli’s surgical instruments.


References


External links


Archive of Museo Galileo
{{DEFAULTSORT:Gigli, Leonardo 1863 births 1908 deaths People from Sesto Fiorentino Italian surgeons Italian obstetricians 20th-century Italian physicians University of Florence alumni 20th-century surgeons