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Leonid Ivanovich Rogozov (russian: Леони́д Ива́нович Ро́гозов; 14 March 1934 – 21 September 2000) was a
Soviet The Soviet Union,. officially the Union of Soviet Socialist Republics. (USSR),. was a List of former transcontinental countries#Since 1700, transcontinental country that spanned much of Eurasia from 1922 to 1991. A flagship communist state, ...
general practitioner who took part in the sixth
Soviet Antarctic Expedition The Soviet Antarctic Expedition (SAE or SovAE) (russian: Советская антарктическая экспедиция, САЭ, ''Sovetskaya antarkticheskaya ekspeditsiya'') was part of the Arctic and Antarctic Research Institute of the So ...
, 1960–1961. In April 1961 he had developed
appendicitis Appendicitis is inflammation of the appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. However, approximately 40% of people do not have these typical symptoms. Severe complications of a rup ...
while at
Novolazarevskaya Station Novolazarevskaya Station (russian: Станция Новолазаревская) is a Russian, formerly Soviet, Antarctic research station. The station is located at Schirmacher Oasis, Queen Maud Land, from the Antarctic coast, from which it is ...
, and being the only medical professional there at the time, had to perform his own
appendectomy An appendectomy, also termed appendicectomy, is a Surgery, surgical operation in which the vermiform appendix (a portion of the intestine) is removed. Appendectomy is normally performed as an urgent or emergency procedure to treat complicated acu ...
.


Early years

Leonid Rogozov was born in Borzinsky District Dauriya Station, Chita Oblast, a remote village in eastern Siberia, a little over 10 miles from the Soviet border with Mongolia and China, near Manzhouli. His father was killed in World War II in 1943. In 1953, Rogozov completed his studies at a secondary school in Minusinsk, Krasnoyarsk Krai, and was admitted to the Saint Petersburg State Pediatric Medical Academy Leningrad Pediatric Medical Institute now Saint Petersburg. After graduating in 1959 as a general practitioner, he started clinical training to specialise in surgery. In September 1960, at the age of 26, he interrupted his training and joined the sixth Soviet Antarctic Expedition as a medical doctor.


Antarctic service

From September 1960 until October 1962, Rogozov worked in Antarctica, in his role as the sole doctor for a team of thirteen researchers at the
Novolazarevskaya Station Novolazarevskaya Station (russian: Станция Новолазаревская) is a Russian, formerly Soviet, Antarctic research station. The station is located at Schirmacher Oasis, Queen Maud Land, from the Antarctic coast, from which it is ...
, established in January 1961. On the morning of 29 April 1961, Rogozov experienced general weakness, nausea, and moderate fever, and later pain in the lower right portion of his abdomen. None of the possible conservative treatments helped. By 30 April signs of localised
peritonitis Peritonitis is inflammation of the localized or generalized peritoneum, the lining of the inner wall of the abdomen and cover of the abdominal organs. Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. One part or ...
became apparent, and his condition worsened considerably by the evening. Mirny, the nearest Soviet research station, was more than 1,000 miles from Novolazarevskaya. Antarctic research stations of other countries did not have an aircraft available. Severe blizzard conditions prevented aircraft landing in any case. Rogozov had no option but to perform an operation on himself. The operation started at 02:00 local time on 1 May with the help of a driver and meteorologist, who provided instruments and held a mirror so Rogozov could observe areas not directly visible. Rogozov lay in a semi-reclining position, half-turned to his left side. A solution of 0.5%
novocaine Procaine is a local anesthetic drug of the amino ester group. It is most commonly used in dental procedures to numb the area around a tooth and is also used to reduce the pain of intramuscular injection of penicillin. Owing to the ubiquity of ...
was used for local anesthesia of the abdominal wall. Rogozov made a 10–12 cm incision of the
abdominal wall In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the v ...
, but while opening the
peritoneum The peritoneum is the serous membrane forming the lining of the abdominal cavity or coelom in amniotes and some invertebrates, such as annelids. It covers most of the intra-abdominal (or coelomic) organs, and is composed of a layer of mesoth ...
he accidentally cut the
cecum The cecum or caecum is a pouch within the peritoneum that is considered to be the beginning of the large intestine. It is typically located on the right side of the body (the same side of the body as the appendix (anatomy), appendix, to which i ...
and had to suture it. Then he exposed the appendix. According to his report, the appendix was found to have a dark stain at its base, and Rogozov estimated it would have burst within a day. The appendix was resected and antibiotics were applied directly into the peritoneal cavity. General weakness and nausea developed about 30–40 minutes after the start of the operation so that short pauses for rest were repeatedly needed after that. By about 04:00 the operation was complete. After the operation gradual improvement occurred in the signs of peritonitis and in the general condition of Rogozov. Body temperature returned to normal after five days, and the stitches were removed seven days after the operation. He resumed his regular duties in about two weeks. The
self-surgery Self-surgery is the act of performing a surgical procedure on oneself. It can be an act taken in extreme circumstances out of necessity, an attempt to avoid embarrassment, legal action, or financial costs, or a rare manifestation of a psychological ...
, which was photographed by his colleagues, captured the imagination of the Soviet public at the time. In 1961 he was awarded the
Order of the Red Banner of Labour The Order of the Red Banner of Labour (russian: Орден Трудового Красного Знамени, translit=Orden Trudovogo Krasnogo Znameni) was an order of the Soviet Union established to honour great deeds and services to th ...
. The incident resulted in a change of policy, and thereafter, extensive health checks were mandatory for personnel to be deployed on such expeditions.


Later years

In October 1962, Rogozov returned to
Leningrad Saint Petersburg ( rus, links=no, Санкт-Петербург, a=Ru-Sankt Peterburg Leningrad Petrograd Piter.ogg, r=Sankt-Peterburg, p=ˈsankt pʲɪtʲɪrˈburk), formerly known as Petrograd (1914–1924) and later Leningrad (1924–1991), i ...
and started working on an MD at his alma mater. In September 1966 he published a dissertation entitled ''Resection of the
esophagus The esophagus (American English) or oesophagus (British English; both ), non-technically known also as the food pipe or gullet, is an organ in vertebrates through which food passes, aided by peristaltic contractions, from the pharynx to the ...
for treating
esophageal cancer Esophageal cancer is cancer arising from the esophagus—the food pipe that runs between the throat and the stomach. Symptoms often include difficulty in swallowing and weight loss. Other symptoms may include pain when swallowing, a hoarse voice ...
''. He later worked as a doctor in various hospitals in Leningrad. From 1986 to 2000 he served as the head of the surgery department of Saint Petersburg Research Institute for Tubercular Pulmonology. Rogozov died in 2000, aged 66, in Saint Petersburg, Russia, from
lung cancer Lung cancer, also known as lung carcinoma (since about 98–99% of all lung cancers are carcinomas), is a malignant lung tumor characterized by uncontrolled cell growth in tissue (biology), tissues of the lung. Lung carcinomas derive from tran ...
.


See also

*
Evan O'Neill Kane Evan O'Neill Kane (April 6, 1861 – April 1, 1932) was an American physician and surgeon from the 1880s to the early 1930s who served as chief of surgery at Kane Summit Hospital in Kane, Pennsylvania. He was a significant contributor in his da ...


References


External links

* , with photos from the operation *https://www.thisamericanlife.org/613/ok-ill-do-it This American Life podcast episode {{DEFAULTSORT:Rogozov, Leonid 1934 births 2000 deaths People from Borzinsky District Communist Party of the Soviet Union members Soviet surgeons Explorers of Antarctica Health in Antarctica 1961 in Antarctica Soviet Union and the Antarctic Deaths from lung cancer