The Old Operating Theatre Museum and Herb Garret at 9a St Thomas Street is a museum of
surgical history and one of the oldest surviving
operating theatre
An operating theater (also known as an operating room (OR), operating suite, or operation suite) is a facility within a hospital where surgical operations are carried out in an aseptic environment.
Historically, the term "operating theater" refe ...
s. It is located in the
garret
A garret is a habitable attic, a living space at the top of a house or larger residential building, traditionally, small, dismal, and cramped, with sloping ceilings. In the days before elevators this was the least prestigious position in a bu ...
of
St Thomas's Church,
Southwark
Southwark ( ) is a district of Central London situated on the south bank of the River Thames, forming the north-western part of the wider modern London Borough of Southwark. The district, which is the oldest part of South London, developed ...
, in
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 ...
, on the original site of
St Thomas' Hospital
St Thomas' Hospital is a large NHS teaching hospital in Central London, England. It is one of the institutions that compose the King's Health Partners, an academic health science centre. Administratively part of the Guy's and St Thomas' NHS Foun ...
.
History
There is little information about operating theatres at Old St Thomas from its foundation till the 18th century. The church that contains the Old Operating Theatre Museum was built at the end of the 17th century, when the hospital and church were largely rebuilt by Sir
Robert Clayton, president of the hospital and a former
Lord Mayor of the City of London
Lord is an appellation for a person or deity who has authority, control, or power over others, acting as a master, chief, or ruler. The appellation can also denote certain persons who hold a title of the peerage in the United Kingdom, or are ...
. He employed
Thomas Cartwright, master
mason to
Christopher Wren
Sir Christopher Wren PRS FRS (; – ) was one of the most highly acclaimed English architects in history, as well as an anatomist, astronomer, geometer, and mathematician-physicist. He was accorded responsibility for rebuilding 52 churches ...
at St Mary-Le-Bow, as architect. The new church was fitted out with a large garret constructed in the 'aisled-barn' tradition. There is very little information about the garret except that it was fitted with wooden storage racks, and was described as "the herb garret" in 1821. Dried heads of
opium
Opium (or poppy tears, scientific name: ''Lachryma papaveris'') is dried latex obtained from the seed capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which i ...
plants were found in the rafters. It is likely that the garret was used by the hospital's resident apothecary to store and cure medicinal herbs.
In 1822 part of the herb garret was converted into a purpose-built
operating theatre
An operating theater (also known as an operating room (OR), operating suite, or operation suite) is a facility within a hospital where surgical operations are carried out in an aseptic environment.
Historically, the term "operating theater" refe ...
; previously operations had taken place on the ward. Windows were provided for the garret at the same time, suggesting that its function changed from storage to a working environment. This strange situation was due to the female surgical ward's abutting the garret, which may have been used as a recovery ward.
In 1859,
Florence Nightingale
Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English Reform movement, social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during t ...
became involved with St Thomas's, setting up on this site her famous nursing school. On her advice the hospital agreed to move to a new site when the
Charing Cross
Charing Cross ( ) is a junction in Westminster, London, England, where six routes meet. Clockwise from north these are: the east side of Trafalgar Square leading to St Martin's Place and then Charing Cross Road; the Strand leading to the City; ...
Railway Company offered to buy the hospital's land. In 1862, the hospital began the move to its present site at Lambeth, and the operating theatre was closed, lying undiscovered until 1957.
Use
The patients were mainly poor people who were expected to contribute to their care if they could afford it. Rich patients were treated and operated on at home rather than in hospital. The patients at the old operating theatre were all women.
Until 1847, surgeons had no recourse to anaesthetics and depended on swift technique (surgeons could perform an
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 ...
in a minute or less), the mental preparation of the patient, and alcohol or opiates to dull the patient's senses. Thereafter,
ether
In organic chemistry, ethers are a class of compounds that contain an ether group—an oxygen atom connected to two alkyl or aryl groups. They have the general formula , where R and R′ represent the alkyl or aryl groups. Ethers can again be c ...
or
chloroform
Chloroform, or trichloromethane, is an organic compound with chemical formula, formula Carbon, CHydrogen, HChlorine, Cl3 and a common organic solvent. It is a colorless, strong-smelling, dense liquid produced on a large scale as a precursor to ...
started to be used. The operating theatre had closed down before antiseptic surgery was developed. The majority of cases were for amputations or superficial complaints as, without antiseptic conditions, it was too dangerous to do internal operations.
A description of the students packing the theatre to witness an operation was left by a St Thomas surgeon,
John Flint South
John Flint South (1797–1882) was an English surgeon.
Life
The eldest son by his second wife of James South, a druggist in Southwark, he was born on 5 July 1797; Sir James South, the astronomer, was his half-brother. He was put to school in ...
:
Patients put up with the audience, to their distress, because they received medical treatment from some of the best surgeons in the land, which otherwise they could not afford. Wealthy patients of the surgeons would have been operated on, by choice, at home, probably on the kitchen table.
The risk of death at the hands of a surgeon was greatly increased by the lack of understanding of the causes of infection. Although cleanliness was a moral virtue, descriptions suggest that a surgeon was as likely to wash his hands after an operation as before. The old
frock coat
A frock coat is a formal men's coat characterised by a knee-length skirt cut all around the base just above the knee, popular during the Victorian and Edwardian periods (1830s–1910s). It is a fitted, long-sleeved coat with a centre vent at th ...
s worn by surgeons during operations were, according to a contemporary, 'stiff and stinking with pus and blood'. Beneath the table was a sawdust box for collecting blood. The death rate was further heightened by the shock of the operation, and because operations took place as a last resort, patients tended to have few reserves of strength.
Modern museum
In 1962, after 100 years of disuse, the garret and operating theatre were opened to the public as the current museum. The museum consists of:
* The oldest surviving
operating theatre
An operating theater (also known as an operating room (OR), operating suite, or operation suite) is a facility within a hospital where surgical operations are carried out in an aseptic environment.
Historically, the term "operating theater" refe ...
in the UK (dating from 1822), used in the days before
anaesthetic
An anesthetic (American English) or anaesthetic (British English; see spelling differences) is a drug used to induce anesthesia — in other words, to result in a temporary loss of sensation or awareness. They may be divided into two ...
s and
antiseptic
An antiseptic (from Greek ἀντί ''anti'', "against" and σηπτικός ''sēptikos'', "putrefactive") is an antimicrobial substance or compound that is applied to living tissue/skin to reduce the possibility of infection, sepsis, or putre ...
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 ...
* The herb garret used by the hospital's
apothecary
''Apothecary'' () is a mostly archaic term for a medical professional who formulates and dispenses '' materia medica'' (medicine) to physicians, surgeons, and patients. The modern chemist (British English) or pharmacist (British and North Ameri ...
to store and cure herbs used in healing
* A collection of artefacts revealing the horrors of medicine before the age of science, including instruments for cupping, bleeding,
trepanning
Trepanning, also known as trepanation, trephination, trephining or making a burr hole (the verb ''trepan'' derives from Old French from Medieval Latin from Greek , literally "borer, auger"), is a surgical intervention in which a hole is drill ...
, and childbirth
* Displays on
medieval
In the history of Europe, the Middle Ages or medieval period lasted approximately from the late 5th to the late 15th centuries, similar to the Post-classical, post-classical period of World history (field), global history. It began with t ...
monastic health care; the history of St Thomas's,
Guy's Hospital
Guy's Hospital is an NHS hospital in the borough of Southwark in central London. It is part of Guy's and St Thomas' NHS Foundation Trust and one of the institutions that comprise the King's Health Partners, an academic health science centre.
...
and
Evelina Children's Hospital
Evelina London Children's Hospital is a specialist NHS hospital in London. It is administratively a part of Guy's and St Thomas' NHS Foundation Trust and provides teaching hospital facilities for London South Bank University and King's College ...
;
Florence Nightingale
Florence Nightingale (; 12 May 1820 – 13 August 1910) was an English Reform movement, social reformer, statistician and the founder of modern nursing. Nightingale came to prominence while serving as a manager and trainer of nurses during t ...
and nursing; and medical and herbal medicine
The museum is a member of the
London Museums of Health & Medicine
The London Museums of Health & Medicine is a group that brings together some of the activities of several museums in London, England, related to health and medicine. The group was founded in 1991.
The museums and medical organisations are:
*Al ...
.
The building is
listed Grade II* on the
National Heritage List for England
The National Heritage List for England (NHLE) is England's official database of protected heritage assets. It includes details of all English listed buildings, scheduled monuments, register of historic parks and gardens, protected shipwrecks, an ...
.
A nearby
London Underground
The London Underground (also known simply as the Underground or by its nickname the Tube) is a rapid transit system serving Greater London and some parts of the adjacent ceremonial counties of England, counties of Buckinghamshire, Essex and He ...
and
National Rail
National Rail (NR) is the trading name licensed for use by the Rail Delivery Group, an unincorporated association whose membership consists of the passenger train operating companies (TOCs) of England, Scotland, and Wales. The TOCs run the p ...
station is
London Bridge
Several bridges named London Bridge have spanned the River Thames between the City of London and Southwark, in central London. The current crossing, which opened to traffic in 1973, is a box girder bridge built from concrete and steel. It r ...
.
References
External links
*
{{Authority control
Former churches in the London Borough of Southwark
Grade II* listed buildings in the London Borough of Southwark
Grade II* listed churches in London
Health in the London Borough of Southwark
History of the London Borough of Southwark
Medical museums in London
Museums in the London Borough of Southwark
Queen Anne architecture in the United Kingdom