William Stewart Halsted,

M.D. Doctor of Medicine (abbreviated M.D., from the Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. ...

(September 23, 1852 – September 7, 1922) was an American surgeon who emphasized strict

aseptic technique Asepsis is the state of being free from disease-causing micro-organisms (such as pathogenic bacteria, viruses, pathogenic fungi, and parasites). There are two categories of asepsis: medical and surgical. The modern day notion of asepsis is deri ...

during surgical procedures, was an early champion of newly discovered

anesthetic 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 introduced several new operations, including the

radical mastectomy Radical mastectomy is a surgical procedure involving the removal of breast, underlying chest muscle (including pectoralis major and pectoralis minor), and lymph nodes of the axilla as a treatment for breast cancer. Breast cancer is the most com ...

for breast cancer. Along with

William Osler Sir William Osler, 1st Baronet, (; July 12, 1849 – December 29, 1919) was a Canadian physician and one of the "Big Four" founding professors of Johns Hopkins Hospital. Osler created the first residency program for specialty training of phys ...

(Professor of Medicine),

Howard Atwood Kelly Howard Atwood Kelly (February 20, 1858 – January 12, 1943) was an American gynecologist. He obtained his B.A. degree and M.D. degree from the University of Pennsylvania. He, William Osler, William Halsted, and William Welch together are know ...

(Professor of Gynecology) and

William H. Welch William Henry Welch (April 8, 1850 – April 30, 1934) was an American physician, pathologist, bacteriologist, and medical-school administrator. He was one of the "Big Four" founding professors at the Johns Hopkins Hospital.Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 m ...

.Johns Hopkins Medicine:The Four Founding Professors
/ref> His operating room at Johns Hopkins Hospital is in Ward G, and was described as a small room where medical discoveries and miracles took place. According to an intern who once worked in Halsted's operating room, Halsted had unique techniques, operated on the patients with great confidence and often had perfect results which astonished the interns. Throughout his professional life, he was addicted to

cocaine Cocaine (from , from , ultimately from Quechuan languages, Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly recreational drug use, used recreationally for its euphoria, euphoric effects. It is primarily obtained from t ...

and later also to

morphine Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies (''Papaver somniferum''). It is mainly used as a analgesic, pain medication, and is also commonly used recreational drug, recreationally, or to make ...

, which were not illegal during his time. As revealed by Osler's diary, Halsted developed a high level of drug tolerance for morphine. He was "never able to reduce the amount to less than three grains daily" (approximately 200 mg). Halsted's addictions resulted from experiments on the use of cocaine as an anesthetic agent that he performed on himself.

Early life

William Stewart Halsted Yale College class of 1874

William S. Halsted was born on September 23, 1852, in New York City. His mother was Mary Louisa Haines and his father William Mills Halsted, Jr. He was the oldest of four children. His father was a businessman with Halsted, Haines and Company which was an organization that supplied dry goods. William Halsted, Jr. was very involved in the community. William S. Halsted's family was of English heritage and was very wealthy with two homes in the state of New York. One of their homes was on Fifth Avenue in New York City and the other was an estate in Westchester County, New York. Though raised a

Presbyterian Presbyterianism is a part of the Reformed tradition within Protestantism that broke from the Roman Catholic Church in Scotland by John Knox, who was a priest at St. Giles Cathedral (Church of Scotland). Presbyterian churches derive their nam ...

, Halsted was an agnostic by adulthood. Halsted was educated at home by tutors until 1862, when he was sent to boarding school in

Monson, Massachusetts Monson is a town in Hampden County, Massachusetts, United States. The population was 8,150 at the 2020 census. It is part of the Springfield, Massachusetts Metropolitan Statistical Area. The census-designated place of Monson Center lies at the ...

at age ten. He didn't like his new school and even ran away at one point. He was later enrolled at

Phillips Academy ("Not for Self") la, Finis Origine Pendet ("The End Depends Upon the Beginning") Youth From Every Quarter Knowledge and Goodness , address = 180 Main Street , city = Andover , state = Ma ...

Andover, Massachusetts Andover is a town in Essex County, Massachusetts, United States. It was settled in 1642 and incorporated in 1646."Andover" in ''The New Encyclopædia Britannica''. Chicago: Encyclopædia Britannica Inc., 15th ed., 1992, Vol. 1, p. 387. As of th ...

, where he graduated in 1869. Halsted entered

Yale College Yale College is the undergraduate college of Yale University. Founded in 1701, it is the original school of the university. Although other Yale schools were founded as early as 1810, all of Yale was officially known as Yale College until 1887, ...

after a year of studying at home. At Yale, Halsted was captain of the football team, played baseball and rowed on the crew team, but his academic achievements were below average. One of his social setbacks was in his senior year when he wasn't accepted into the prestigious

Skull and Bones Skull and Bones, also known as The Order, Order 322 or The Brotherhood of Death, is an undergraduate senior secret student society at Yale University in New Haven, Connecticut. The oldest senior class society at the university, Skull and Bone ...

secret society. At the end of his senior year at Yale, a newfound interest in medicine seemed to arise. Halsted attended medical lectures at

Yale Medical School The Yale School of Medicine is the graduate medical school at Yale University, a private research university in New Haven, Connecticut. It was founded in 1810 as the Medical Institution of Yale College and formally opened in 1813. The primary te ...

and studied books on the subjects of anatomy and physiology.

Medical education

Upon graduation from Yale in 1874, Halsted entered

Columbia University College of Physicians and Surgeons Columbia University Vagelos College of Physicians and Surgeons (VP&S) is the graduate medical school of Columbia University, located at the Columbia University Irving Medical Center in the Washington Heights neighborhood of Manhattan. Founded ...

. Historians are not certain why Halsted attended medical school. Some believe he was inspired by his father's involvement with medical organizations. Others think he couldn't imagine himself in the family business. Once he entered medical school, he left his early academic difficulties behind him. Physicians central to his emergence as a medical scholar include Henry B Sands, a well-known surgeon, who was Halsted's tutor during this time. Halsted served as assistant to Professor of Physiology

John Call Dalton John Call Dalton (February 2, 1825 – February 12, 1889) was an American physiologist and vivisection activist who became the first full-time professor of physiology in the United States. Early life Dalton was born in Chelmsford, Massachusett ...

, another influence. During medical school, Halsted worked in a pharmacy in his free time. After two years of medical school, Halsted started to burn out. He complained about his memory not working correctly among other things so during the summer of his second year he went to

Block Island Block Island is an island in the U.S. state of Rhode Island located in Block Island Sound approximately south of the mainland and east of Montauk Point, Long Island, New York, named after Dutch explorer Adriaen Block. It is part of Washingt ...

Rhode Island Rhode Island (, like ''road'') is a U.S. state, state in the New England region of the Northeastern United States. It is the List of U.S. states by area, smallest U.S. state by area and the List of states and territories of the United States ...

. Here, he studied while participating in activities like fishing and sailing. He then took a competitive exam to apply for an internship at

Bellevue Hospital Bellevue Hospital (officially NYC Health + Hospitals/Bellevue and formerly known as Bellevue Hospital Center) is a hospital in New York City and the oldest public hospital in the United States. One of the largest hospitals in the United States ...

in New York even though this program was only open to students with medical degrees. Halsted did very well on the exam and was awarded the internship for House Surgeon at Bellevue where he remained for a year. Halsted spent most of his internship in the medical wards but also helped with some surgical operations. The conditions in the hospital were very unsanitary; bleeding patients was a common practice during this time, and surgical tools weren't as well cared for as they are modernly. Interns ran around the hospital with buckets full of pus from the patients. During the internship, Halsted was introduced to the use of antiseptic through physicians using Joseph Lister's technique created in 1867. This sparked an interest in Halsted, and he helped with the issue of infections at Bellevue during the rest of the internship. He ended his academic career in the top ten of his medical school class. He then participated in a competition that placed him at the top of his class. He graduated in 1877 with a

Doctor of Medicine Doctor of Medicine (abbreviated M.D., from the Latin language, Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a profes ...

degree.

Medical career

After graduation, Halsted joined the New York Hospital as house physician in April 1878, where he introduced the hospital chart which tracks the patient's temperature, pulse and respiration. It was at New York Hospital that Halsted met the pathologist

William H. Welch William Henry Welch (April 8, 1850 – April 30, 1934) was an American physician, pathologist, bacteriologist, and medical-school administrator. He was one of the "Big Four" founding professors at the Johns Hopkins Hospital. Halsted had exhausted all of the medical training opportunities the United States had to offer in his position, for there was no program to train recent medical school graduates for a career in medicine at this time. Halsted then went to Europe to study under the tutelage of several prominent surgeons and scientists, including

Edoardo Bassini Edoardo Bassini (April 14, 1844 – July 19, 1924) was an Italian surgeon born in Pavia. In 1866 he received his medical degree from the University of Pavia, and afterwards joined the Italian Unification movement as an infantry soldier und ...

Ernst von Bergmann Ernst Gustav Benjamin von Bergmann (16 December 1836 – 25 March 1907) was a Baltic German surgeon. He was the first physician to introduce heat sterilisation of surgical instruments and is known as a pioneer of aseptic surgery. Biography Bo ...

Theodor Billroth Christian Albert Theodor Billroth (26 April 18296 February 1894) was a German surgeon and amateur musician. As a surgeon, he is generally regarded as the founding father of modern abdominal surgery. As a musician, he was a close friend and conf ...

Heinrich Braun Heinrich Friedrich Wilhelm Braun (1 January 1862 – 26 April 1934) was a German surgeon remembered for his work in the field of anaesthesiology. He was a native of Rawitsch, Province of Posen (today called Rawicz, Poland). Braun attended the K ...

Hans Chiari Hans Chiari (4 September 1851 − 6 May 1916) was an Austrian pathologist, who was a native of Vienna. He was the son of gynecologist Johann Baptist Chiari (1817–1854), and brother to rhinolaryngologist Ottokar Chiari (1853–1918). Biograp ...

Friedrich von Esmarch Johannes Friedrich August von Esmarch (9 January 1823 – 23 February 1908) was a German surgeon. He developed the Esmarch bandage and founded the ''Deutscher Samariter-Verein'', the predecessor of the '' Deutscher Samariter-Bund''. Life ...

, Albert von Kölliker,

Jan Mikulicz-Radecki Jan Mikulicz-Radecki (german: Johann Freiherr von Mikulicz-Radecki) was a German-Polish-Austrian surgeon who worked mainly in the German Empire. He was born on 16 May 1850 in Czerniowce in the Austrian Empire (present-day Chernivtsi in Ukraine) ...

, Max Schede, Adolph Stöhr,

Richard von Volkmann Richard von Volkmann (17 August 1830 – 28 November 1889) was a prominent German surgeon and author of poetry and fiction. Some of his works were illustrated by his son, Hans, a well known artist. Biography He was born in Leipzig on 17 August ...

, Anton Wölfler,

Emil Zuckerkandl Emil Zuckerkandl (1 September 1849 in Győr, Hungary – 28 May 1910 in Vienna, Austria) was a Hungarian anatomist. Biography Zuckerkandl was born in Győr on 1 September 1849, to a Jewish family. He had two brothers: the industrialist V ...

. He became especially close to Anton Woelfler among others which gave him unlimited access to resources. The relationships Halsted forged with these future leaders in their fields would last a lifetime. During this time in Europe, cancer was just starting to be studied more widely, making the timing of his arrival ideal. This experience inspired him with multiple new medical ideas and practices that he would contribute to in the United States. Halsted returned to New York in 1880 and for the next six years led an extraordinarily vigorous and energetic life. Like when Halsted visited Europe, it was an opportune time for Halsted's involvement because surgery was on the brink of various important discoveries. He operated at multiple hospitals including the Chambers Street Hospital, College of Physicians and Surgeons where he was Assistant Demonstrator in Anatomy, Charity Hospital, Bellevue Hospital and Roosevelt Hospital (currently

Mount Sinai West Mount Sinai West, opened in 1871 as Roosevelt Hospital, is affiliated with the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System. The 514-bed facility is located in the Midtown West neighborhood of New York City. The fac ...

) where he was a visiting physician at all three, and Emigrant Hospital where he was Surgeon-in-Chief. At Bellevue Hospital, he convinced the hospital to erect a tent that was used as his surgical area where he could practice the idea of antiseptic surgery. This project cost $10,000 at the time. Halsted also started teaching, but he greatly strayed from classical teaching methods. He reformed the classroom by creating a more hands-on experience coupled with theory for his students who were generally at the top of their classes. He was an extremely popular, inspiring and charismatic teacher due to this. In 1882 he performed one of the first

gallbladder In vertebrates, the gallbladder, also known as the cholecyst, is a small hollow organ where bile is stored and concentrated before it is released into the small intestine. In humans, the pear-shaped gallbladder lies beneath the liver, although ...

operations in the United States, a

cholecystotomy Cholecystectomy is the surgical removal of the gallbladder. Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. In 2011, cholecystectomy was the eighth most common operating room procedure performed i ...

performed on his mother on the kitchen table at 2 am in which he removed seven gallstones. His mother completely recovered. Halsted also performed one of the first emergency blood transfusions in the United States. He had been called to see his sister after she had given birth. He found her moribund from blood loss, and in a bold move withdrew his own blood, transfused his blood into his sister, and then operated on her to save her life. Because of these operations, Halsted became known for being bold, and his reputation as a surgeon was gradually increasing. In 1884, Halsted read a report by the Austrian

ophthalmologist Ophthalmology ( ) is a surgery, surgical subspecialty within medicine that deals with the diagnosis and treatment of eye disorders. An ophthalmologist is a physician who undergoes subspecialty training in medical and surgical eye care. Followin ...

Karl Koller, describing the anesthetic power of cocaine when instilled on the surface of the eye. Halsted, his students, and fellow physicians experimented on each other, and demonstrated that cocaine could produce safe and effective local anesthesia when applied topically and when injected. Halsted would also inject himself with the drug to test it before using it on his patients during surgeries. In the process, Halsted and some of his other colleagues became addicted to the drug. Halsted and Dr. Richard Hall were the only colleagues who became addicted that would survive their cocaine problems. Halsted maintained an active career while dealing with his addiction for five years. However, there were some clues to his condition during this time. Halsted published an article in 1885 in the ''New York Medical Journal'', and it was incoherent. This showcased what state Halsted was in with his addiction to cocaine. His close friend

Harvey Firestone Harvey Samuel Firestone (December 20, 1868 – February 7, 1938) was an American businessman, and the founder of the Firestone Tire and Rubber Company, one of the first global makers of automobile tires. Family background Firestone was born o ...

recognized the gravity of the situation, and arranged for Halsted to be abducted and put aboard a steamer headed for Europe. In the two weeks it took to complete the voyage, Halsted underwent an early, crude form of detoxification. Upon his return to the United States he became addicted again, and voluntarily admitted himself to Butler Sanatorium in

Providence, Rhode Island Providence is the capital and most populous city of the U.S. state of Rhode Island. One of the oldest cities in New England, it was founded in 1636 by Roger Williams, a Reformed Baptist theologian and religious exile from the Massachusetts Bay ...

, where they attempted to cure his cocaine addiction with morphine. He was there for seven months. Even though he remained dependent upon morphine for the remainder of his life, he continued his career as a pioneering surgeon; many of his innovations remain standard operating room procedures. However, his addiction to cocaine ended his medical career in New York City. Four doctors 1907

Following his discharge from Butler in 1886, Halsted moved to

Baltimore, Maryland Baltimore ( , locally: or ) is the List of municipalities in Maryland, most populous city in the U.S. state of Maryland, fourth most populous city in the Mid-Atlantic (United States), Mid-Atlantic, and List of United States cities by popula ...

, to join his friend William Welch in organizing and launching the new

Johns Hopkins Hospital The Johns Hopkins Hospital (JHH) is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest of over $7 million (1873 m ...

. Halsted began working in Welch's experimental laboratory, and he presented a paper at Harvard Medical School. Soon thereafter, he was readmitted to Butler Hospital and remained there for nine months. He returned to Baltimore thereafter. When Johns Hopkins University Hospital opened in May 1889, he became Head of the Outpatient Department, acting Surgeon to the hospital, and Associate Professor of Surgery after being recommended by Welch when the first choice for the position fell through. These lesser positions alluded to the fact that the administration was still worried about Halsted's past cocaine addiction. In 1890, he was appointed Surgeon-in-Chief of the hospital. In 1892, Halsted joined Welch,

, and

Howard Kelly Howard Kelly may refer to: * Howard Kelly (Royal Navy officer) - (1873-1952) Royal Navy admiral * Howard Atwood Kelly Howard Atwood Kelly (February 20, 1858 – January 12, 1943) was an American gynecologist. He obtained his B.A. degree and M.D ...

in founding the

Johns Hopkins School of Medicine The Johns Hopkins University School of Medicine (JHUSOM) is the medical school of Johns Hopkins University, a private research university in Baltimore, Maryland. Founded in 1893, the School of Medicine shares a campus with the Johns Hopkins Hospi ...

, and was appointed its first Professor of Surgery. Compared to his teaching in New York, Halsted's teaching was declining. He would pay attention to specific students and ignore the rest. But, he would also give certain residents that worked under him unprecedented learning experiences because of the amount of responsibility he awarded them. During these years at Johns Hopkins, he is credited with multiple achievements in the surgical world.

Achievements

Halsted was credited with starting the first formal surgical residency training program in the United States at Johns Hopkins. He based this mainly on the ideas that he obtained in Europe, especially those of the Germans, Austrians, and Swiss. This was the foundation for the residency training programs in place today. The program began with an internship of undefined length (individuals advanced once Halsted believed they were ready for the next level of training), followed by six years as an assistant resident, and then two years as house surgeon. This program was also developed to create role models and teachers for the next generation of surgeons. Halsted trained many of the prominent academic surgeons of the time, including

Harvey Williams Cushing Harvey Williams Cushing (April 8, 1869 – October 7, 1939) was an American neurosurgeon, pathologist, writer, and draftsman. A pioneer of brain surgery, he was the first exclusive neurosurgeon and the first person to describe Cushing's disease. ...

and

Walter Dandy Walter Edward Dandy (April 6, 1886 – April 19, 1946) was an American neurosurgeon and scientist. He is considered one of the founding fathers of neurosurgery, along with Victor Horsley (1857–1916) and Harvey Cushing (1869–1939). Dandy is ...

, founders of the surgical subspecialty of

neurosurgery Neurosurgery or neurological surgery, known in common parlance as brain surgery, is the medical specialty concerned with the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord and peri ...

; and Hugh H. Young, a founder of the specialty of

urology Urology (from Greek οὖρον ''ouron'' "urine" and '' -logia'' "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary-tract system and the reproductive org ...

. His methods of training surgeons spread, first to the rest of Baltimore and then throughout the United States. Many prominent figures in medical surgery were affected and influenced by his new system of training, and it has had a profound impact on American medicine. William Stewart Halsted, Surgical papers Wellcome L0004968

William Stewart Halsted, Surgical papers Wellcome L0004968

Halsted held the belief that cancers spread through the bloodstream, which led him to think that sufficient local removal of the tumor would cure the cancer. This belief led him to perform the first

for breast cancer in the U.S. at

Roosevelt Hospital Mount Sinai West, opened in 1871 as Roosevelt Hospital, is affiliated with the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System. The 514-bed facility is located in the Midtown West neighborhood of New York City. The f ...

in New York in 1882; an operation first performed in France a century earlier by

Bernard Peyrilhe Bernard Peyrilhe (1735–1804) was a French surgeon, known as one of the founders of experimental cancer research. Peyrilhe was born in Pompignan, and became a lecturer at the Paris School of Surgery ('). In 1773, Peyrilhe was studying for a PhD ...

(1735-1804). Halsted had observed a German surgeon perform increasingly aggressive surgeries to remove cancerous tumors from the breast, but the patients still relapsed even with this more aggressive surgery. An English surgeon, Charles Moore, believed that even more breast tissue should be removed and doctors who were trying to save women from disfigurement were doing them a disservice. Halsted took this to the next level, eventually resorting to removing the pectoralis major, lymph nodes near the collar bone, and lymph nodes near the armpit. Some surgeons in Europe even removed ribs from women with breast cancer. This caused great disfigurement of the women operated on. Halsted presented his findings at the

American Surgical Association The American Surgical Association is the oldest surgical organization in the United States. History It was founded in 1880. Their publication, ''Annals of Surgery'', was started in 1885. A collection of the association's papers are held at the Nat ...

conference in New Orleans in 1898, concluding that the procedure significantly decreased the percentage of local reoccurrence. He also presented more findings in 1907, showing the same results. Although, the radical mastectomy throughout the years has come under fire. It is now known that survival from breast cancer is more closely related to how much the cancer has spread before surgery than how much is removed during surgery. Halsted created multiple techniques for surgery so damage to tissues and blood supply would be minimized. Some of these new advances included different types of forceps, sutures, and ligatures. Besides working on breast cancer, Halsted also contributed to the surgical treatment for other diseases including vascular aneurysm, inguinal hernia, and a certain kind of primary carcinoma of the ampulla of Vater. In addition, he helped develop anesthesia, an integral part of modern surgery. As one of the first proponents of

hemostasis In biology, hemostasis or haemostasis is a process to prevent and stop bleeding, meaning to keep blood within a damaged blood vessel (the opposite of hemostasis is hemorrhage). It is the first stage of wound healing. This involves coagulation, whi ...

and investigators of

wound healing Wound healing refers to a living organism's replacement of destroyed or damaged tissue by newly produced tissue. In undamaged skin, the epidermis (surface, epithelial layer) and dermis (deeper, connective layer) form a protective barrier again ...

, Halsted pioneered Halsted's principles, modern surgical principles of control of bleeding, accurate anatomical dissection, complete sterility, exact approximation of tissue in wound closures without excessive tightness, and gentle handling of tissues. Halsted was also involved in the introduction of rubber gloves into the operating room for surgery in 1889. The main reason for the introduction of rubber gloves was to protect the hands of scrub nurse

Caroline Hampton Caroline Hampton Halsted (20 November 1861 – 27 November 1922) was a nurse who became the first to use medical gloves in the operating room. Biography Caroline Hampton was a member of a prominent southern family; her uncle, Wade Hampton III, was ...

. She suffered from

contact dermatitis Contact dermatitis is a type of acute or chronic inflammation of the skin caused by exposure to chemical or physical agents. Symptoms of contact dermatitis can include itchy or dry skin, a red rash, bumps, blisters, or swelling. These rashes are ...

and painful

eczema Dermatitis is inflammation of the skin, typically characterized by itchiness, redness and a rash. In cases of short duration, there may be small blisters, while in long-term cases the skin may become thickened. The area of skin involved can ...

as a result of the antiseptics used, so Halsted arranged for Goodyear Rubber Company to make "bespoke" rubber gloves for her. Caroline Hampton would later give up her job as a nurse to become Halsted's wife. Although, the use of gloves wasn't originally championed for sanitary reasons, such gloves drastically increased the cleanliness of operations, as was later demonstrated by

Joseph Colt Bloodgood Joseph Colt Bloodgood (November 1, 1867 – October 22, 1935) was a prominent surgeon in the United States based in Johns Hopkins Hospital in Baltimore, Maryland. He was known for insisting on the use of rubber gloves by the entire surgical team, ...

. Other achievements included advances in

thyroid The thyroid, or thyroid gland, is an endocrine gland in vertebrates. In humans it is in the neck and consists of two connected lobes. The lower two thirds of the lobes are connected by a thin band of tissue called the thyroid isthmus. The thy ...

, biliary tract,

hernia A hernia is the abnormal exit of tissue or an organ (anatomy), organ, such as the bowel, through the wall of the cavity in which it normally resides. Various types of hernias can occur, most commonly involving the abdomen, and specifically the gr ...

, intestinal and arterial

aneurysm An aneurysm is an outward bulging, likened to a bubble or balloon, caused by a localized, abnormal, weak spot on a blood vessel wall. Aneurysms may be a result of a hereditary condition or an acquired disease. Aneurysms can also be a nidus (s ...

surgery.

H.L. Mencken Henry Louis Mencken (September 12, 1880 – January 29, 1956) was an American journalist, essayist, satirist, cultural critic, and scholar of American English. He commented widely on the social scene, literature, music, prominent politicians, ...

considered Halsted the greatest physician of the whole Johns Hopkins group, and Mencken's praise of his achievements when he reviewed Dr. MacCallum's 1930 biography is a memorable tribute. "His contributions to surgery were numerous and various. He introduced the use of local anesthetics, he was the first to put on rubber gloves, and he devised many new and ingenious operations. But his chief service was rather more general, and hard to describe. It was to bring in a new and better way of regarding the patient. Antisepsis and asepsis, coming in when he was young, had turned the attention of surgeons to external and often extraneous things. Fighting germs, they tended to forget the concrete sick man on the table. Dr. Halsted changed all that. He showed that manhandled tissues, though they could not yell, could yet suffer and die. He studied the natural recuperative powers of the body, and showed how they could be made to help the patient. He stood against reckless slashing, and taught that a surgeon must walk very warily. Dr. William Mayo, one of the cofounders of the

Mayo Clinic The Mayo Clinic () is a nonprofit American academic medical center focused on integrated health care, education, and research. It employs over 4,500 physicians and scientists, along with another 58,400 administrative and allied health staff, ...

, once commented that Dr. Halsted took so long to perform procedures that the patients usually healed before he had a chance to close the incision. Though, like most men of his craft, he had no religion, he yet revived and reinforced the ancient saying of

Ambroise Paré Ambroise Paré (c. 1510 – 20 December 1590) was a French barber surgeon who served in that role for kings Henry II, Francis II, Charles IX and Henry III. He is considered one of the fathers of surgery and modern forensic pathology and a p ...

: 'God cured him; I assisted.' Above all, he was a superb teacher, though he never formally taught. The young men who went out from his operating room were magnificently trained, and are among the great ornaments of American surgery today."

Personal life

In 1890, Halsted married

, the niece of

Wade Hampton III Wade Hampton III (March 28, 1818April 11, 1902) was an American military officer who served the Confederate States of America during the American Civil War and later a politician from South Carolina. He came from a wealthy planter family, and ...

, a former general in the

Confederate States Army The Confederate States Army, also called the Confederate Army or the Southern Army, was the military land force of the Confederate States of America (commonly referred to as the Confederacy) during the American Civil War (1861–1865), fighting ...

and also a former

Governor of South Carolina The governor of South Carolina is the head of government of South Carolina. The governor is the '' ex officio'' commander-in-chief of the National Guard when not called into federal service. The governor's responsibilities include making year ...

. They purchased the High Hampton mountain retreat in

North Carolina North Carolina () is a state in the Southeastern region of the United States. The state is the 28th largest and 9th-most populous of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, Georgia and So ...

from Caroline's three aunts. There, Halsted raised

dahlias Dahlia (, ) is a genus of bushy, tuberous, herbaceous perennial plants native to Mexico and Central America. A member of the Asteraceae (former name: Compositae) family of dicotyledonous plants, its garden relatives thus include the sunflowe ...

and pursued his hobby of astronomy; he and his wife had no children. He died on September 7, 1922, 16 days short of his 70th birthday, from

bronchopneumonia Bronchopneumonia is a subtype of pneumonia. It is the acute inflammation of the bronchi, accompanied by inflamed patches in the nearby lobules of the lungs. citing: Webster's New World College Dictionary, Fifth Edition, Copyright 2014 It is often ...

as a complication of surgery for

gallstone A gallstone is a stone formed within the gallbladder from precipitated bile components. The term cholelithiasis may refer to the presence of gallstones or to any disease caused by gallstones, and choledocholithiasis refers to the presence of mi ...

s and cholangitis.Imber G: Ref. 5, ''op cit''.

Eponyms

*Halsted's law: transplanted tissue will grow only if there is a lack of that tissue in the

host A host is a person responsible for guests at an event or for providing hospitality during it. Host may also refer to: Places * Host, Pennsylvania, a village in Berks County People *Jim Host (born 1937), American businessman * Michel Host ...

*Halsted's operation I: operation for

inguinal hernia An inguinal hernia is a hernia (protrusion) of abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third ...

*Halsted's operation II: radical mastectomy for breast cancer *Halsted's sign: a

medical sign Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin ...

for breast cancer *Halsted's suture: a mattress suture for wounds that produced less scarring *Halsted mosquito forceps: a type of

hemostat A hemostat (also called a hemostatic clamp, arterial forceps, or pean after Jules-Émile Péan) is a surgical tool used in many surgical procedures to control bleeding. For this reason, it is common in the initial phases of surgery for the initia ...

*Halsted ligament (

Costoclavicular ligament The costoclavicular ligament, also known as the rhomboid ligament or Halsted's ligament, is a ligament of the shoulder girdle. It is short, flat, and rhomboid in form. It is the major stabilizing factor of the sternoclavicular joint and is the a ...

): it is formed from dense condensation of

clavipectoral fascia The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major. It occupies the interval between the pectoralis minor and subclavius, and pro ...

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* An interview with Gerald Imber, author of ''Genius on the Edge'', and an excerpt from the book. * A documentary on the life of Dr. Halsted recently aired on the public broadcasting station WETA
National Academy of Sciences Biographical Memoir
{{DEFAULTSORT:Halsted, William Stewart 1852 births 1922 deaths Phillips Academy alumni American agnostics American surgeons Burials at Green-Wood Cemetery Columbia University Vagelos College of Physicians and Surgeons alumni Wade Hampton family Johns Hopkins Hospital physicians Yale College alumni