William Cheselden
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William Cheselden (; 19 October 168810 April 1752) was an English surgeon and teacher of
anatomy Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its ...
and surgery, who was influential in establishing surgery as a scientific medical profession. Via the
medical missionary Medical missions is the term used for Christian missionary endeavors that involve the administration of medical treatment. As has been common among missionary efforts from the 18th to 20th centuries, medical missions often involves residents of th ...
Benjamin Hobson Benjamin Hobson (1816–1873) (Chinese:合信) was a Protestant medical missionary who served with the London Missionary Society in imperial China during its Qing dynasty. His ''Treatise on Physiology'', reproducing and elaborating on work by Wil ...
, his work also helped revolutionize medical practices in
China China, officially the People's Republic of China (PRC), is a country in East Asia. It is the world's most populous country, with a population exceeding 1.4 billion, slightly ahead of India. China spans the equivalent of five time zones and ...
and
Japan Japan ( ja, 日本, or , and formally , ''Nihonkoku'') is an island country in East Asia. It is situated in the northwest Pacific Ocean, and is bordered on the west by the Sea of Japan, while extending from the Sea of Okhotsk in the north ...
in the 19th century.


Life

Cheselden was born at
Somerby, Leicestershire Somerby is a village and civil parish in the Borough of Melton, Melton district, in the county of Leicestershire, England. It is south of Melton Mowbray. The population of the civil parish at the 2011 census was 812. Somerby is a small country ...
. He studied
anatomy Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its ...
in London under
William Cowper William Cowper ( ; 26 November 1731 – 25 April 1800) was an English poet and Anglican hymnwriter. One of the most popular poets of his time, Cowper changed the direction of 18th-century nature poetry by writing of everyday life and scen ...
(1666–1709), and began lecturing anatomy in 1710. That same year, he was admitted to the London
Company of Barber-Surgeons The Royal College of Surgeons of England (RCS England) is an independent professional body and registered charity that promotes and advances standards of surgical care for patients, and regulates surgery and dentistry in England and Wales. The ...
, passing the final examination on 29 January 1711. He was elected as a Fellow of the
Royal Society The Royal Society, formally The Royal Society of London for Improving Natural Knowledge, is a learned society and the United Kingdom's national academy of sciences. The society fulfils a number of roles: promoting science and its benefits, re ...
in 1712 and the following year saw the publishing of his ''Anatomy of the Human Body'', which achieved great popularity becoming an essential study source for students, lasting through thirteen editions, mainly because it was written in English instead of
Latin Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...
as was customary. In 1718 he was appointed an assistant surgeon at
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 ...
in London, becoming full surgeon in 1719 or 1720 where his specialisation of the removal of bladder stones resulted in the increase in survival rates. Afterwards, he was appointed surgeon for the stone at
Westminster Infirmary Westminster is an area of Central London, part of the wider City of Westminster. The area, which extends from the River Thames to Oxford Street, has many visitor attractions and historic landmarks, including the Palace of Westminster, Buckin ...
and surgeon to Queen Caroline. He also improved eye surgery, developing new techniques, particularly in the removal of
cataract A cataract is a cloudy area in the lens of the eye that leads to a decrease in vision. Cataracts often develop slowly and can affect one or both eyes. Symptoms may include faded colors, blurry or double vision, halos around light, trouble w ...
s. Cheselden was selected as a surgeon at
St George's Hospital St George's Hospital is a large teaching hospital in Tooting, London. Founded in 1733, it is one of the UK's largest teaching hospitals and one of the largest hospitals in Europe. It is run by the St George's University Hospitals NHS Foundatio ...
upon its foundation in 1733. In 1733 he published ''Osteographia or the Anatomy of Bones'', the first full and accurate description of the anatomy of the human
skeletal system A skeleton is the structural frame that supports the body of an animal. There are several types of skeletons, including the exoskeleton, which is the stable outer shell of an organism, the endoskeleton, which forms the support structure inside ...
. Cheselden retired from St Thomas' in 1738 and moved to the
Chelsea Hospital The Royal Hospital Chelsea is a retirement home and nursing home for some 300 veterans of the British Army. Founded as an almshouse, the ancient sense of the word "hospital", it is a site located on Royal Hospital Road in Chelsea, London, Che ...
. His abode is listed as "Chelsea College" on the 1739
Royal Charter A royal charter is a formal grant issued by a monarch under royal prerogative as letters patent. Historically, they have been used to promulgate public laws, the most famous example being the English Magna Carta (great charter) of 1215, bu ...
for the
Foundling Hospital The Foundling Hospital in London, England, was founded in 1739 by the philanthropic sea captain Thomas Coram. It was a children's home established for the "education and maintenance of exposed and deserted young children." The word "hospital" w ...
, a charity for which he was a founding governor. In 1744 he was elected to the position of Warden of the Company of Barber-Surgeons, and had a role in the separation of the surgeons from the barbers and to the creation of the independent
Company of Surgeons The Royal College of Surgeons of England (RCS England) is an independent professional body and registered charity that promotes and advances standards of surgery, surgical care for patients, and regulates surgery and dentistry in England and Wa ...
in 1745, an organisation that would become later the famous
Royal College of Surgeons of England The Royal College of Surgeons of England (RCS England) is an independent professional body and registered charity that promotes and advances standards of surgical care for patients, and regulates surgery and dentistry in England and Wales. The ...
. He died at Bath in 1752.


First surgical recovery from blindness

Cheselden is credited with performing the first known case of full
recovery from blindness Recovery from blindness is the phenomenon of a blind person gaining the ability to see, usually as a result of medical treatment. As a thought experiment, the phenomenon is usually referred to as Molyneux's problem. It is often stated that the fi ...
in 1728, of a blind 13-year-old boy. Cheselden presented the celebrated case of a boy of thirteen who gained his sight after removal of the lenses rendered opaque by cataract from birth. Despite his youth, the boy encountered profound difficulties with the simplest visual perceptions. Described by Cheselden:
When he first saw, he was so far from making any judgment of distances, that he thought all object whatever touched his eyes (as he expressed it) as what he felt did his skin, and thought no object so agreeable as those which were smooth and regular, though he could form no judgment of their shape, or guess what it was in any object that was pleasing to him: he knew not the shape of anything, nor any one thing from another, however different in shape or magnitude; but upon being told what things were, whose form he knew before from feeling, he would carefully observe, that he might know them again;''An Account of Some Observations Made by a Young Gentleman, Who Was Born Blind, or Lost His Sight so Early, That He Had no Remembrance of Ever Having Seen, and Was Couch'd between 13 and 14 Years of Age''. By Will. Cheselden. Philosophical Transactions, Vol. 35. (1727–1728), pp. 447–450.
Philosopher George Berkeley claimed that his visual theories were “vindicated” by Cheselden's 1728 report on this congenital cataract patient. In 2021, the patient’s name was published for the first time: Daniel Dolins. Berkeley knew the Dolins family, had numerous social links to Cheselden, including the poet Alexander Pope, and Princess Caroline, to whom Cheselden's patient was presented. The report misspelled Cheselden's name, used language typical of Berkeley, and may even have been ghost-written by Berkeley. Unfortunately, Dolins was never able to see well enough to read, and there is no evidence that the surgery improved Dolins' vision at any point prior to his death at age 30.


Works

Cheselden is famous for the invention of the lateral
lithotomy Lithotomy from Greek for "lithos" (stone) and "tomos" (cut), is a surgical method for removal of calculi, stones formed inside certain organs, such as the urinary tract (kidney stones), bladder (bladder stones), and gallbladder (gallstones), tha ...
approach to removing
bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters ...
stones, which he first performed in 1727. The procedure had a short duration (minutes instead of hours) and a low
mortality Mortality is the state of being mortal, or susceptible to death; the opposite of immortality. Mortality may also refer to: * Fish mortality, a parameter used in fisheries population dynamics to account for the loss of fish in a fish stock throug ...
rate (approximately 50%). Cheselden had already developed in 1723 the suprapubic approach, which he published in ''A Treatise on the High Operation for the Stone''. In France, his works were developed by
Claude-Nicolas Le Cat Claude-Nicolas Le Cat (6 September 1700 – 20 August 1768) was a French surgeon and science communicator. Biography Le Cat was born in Blérancourt (Picardy). He was the son of Claude Le Cat, a surgeon, and Anne-Marie Méresse, the daughter of a ...
. He also effected a great advance in
ophthalmic surgery Eye surgery, also known as ophthalmic or ocular surgery, is surgery performed on the eye or its adnexa, by an ophthalmologist or sometimes, an optometrist. Eye surgery is synonymous with ophthalmology. The eye is a very fragile organ, and requ ...
by his operation,
iridectomy An iridectomy, also known as a surgical iridectomy or corectomy, is the surgery, surgical removal of part of the Iris (anatomy), iris.Cline D; Hofstetter HW; Griffin JR. ''Dictionary of Visual Science''. 4th ed. Butterworth-Heinemann, Boston 1997. ...
, described in 1728, to treat certain forms of blindness by producing an artificial pupil. Cheselden also described the role of
saliva Saliva (commonly referred to as spit) is an extracellular fluid produced and secreted by salivary glands in the mouth. In humans, saliva is around 99% water, plus electrolytes, mucus, white blood cells, epithelial cells (from which DNA can be ...
in
digestion Digestion is the breakdown of large insoluble food molecules into small water-soluble food molecules so that they can be absorbed into the watery blood plasma. In certain organisms, these smaller substances are absorbed through the small intest ...
. He attended Sir
Isaac Newton Sir Isaac Newton (25 December 1642 – 20 March 1726/27) was an English mathematician, physicist, astronomer, alchemist, theologian, and author (described in his time as a "natural philosopher"), widely recognised as one of the grea ...
in his last illness and was an intimate friend of
Alexander Pope Alexander Pope (21 May 1688 O.S. – 30 May 1744) was an English poet, translator, and satirist of the Enlightenment era who is considered one of the most prominent English poets of the early 18th century. An exponent of Augustan literature, ...
and of Sir
Hans Sloane Sir Hans Sloane, 1st Baronet (16 April 1660 – 11 January 1753), was an Irish physician, naturalist, and collector, with a collection of 71,000 items which he bequeathed to the British nation, thus providing the foundation of the British Mu ...
.


References


Sources

*R. H. Nichols and F A. Wray, ''The History of the Foundling Hospital'' (London: Oxford University Press, 1935), p. 353. * * * * * * * * * * *Cope, Zachary; ''William Cheselden'', ''1688–1752.'' Edinburgh: E. & S. Livingstone, 1953.


External links


William Cheselden (1666–1709)
Surgical Tutor.

Scanned pages of the original work. Historical Anatomies in the Web. US National Library of Medicine.
Complete scanned copy of the Ostepgraphia
in the public domain at Biu Sante.
The Anatomy of the Human Body (1750)
at the Internet Archive.
Accuracy and Elegance in Cheselden's Osteographia (1733)
article by Monique Kornell, including gallery and comprehensive links to public domain online copies.
Selected images from ''Anatomy of the Humane Body''
From The College of Physicians of Philadelphia Digital Library {{DEFAULTSORT:Cheselden, William 1688 births 1752 deaths People from the Borough of Melton English anatomists British urologists British ophthalmologists English surgeons 18th-century English medical doctors Fellows of the Royal Society 17th-century English painters English male painters 18th-century English painters 18th-century English male artists