Skip to main content

The Ship’s Surgeon and Surgery at Sea: A Brief History

  • Chapter
  • First Online:
Expeditionary Surgery at Sea

Abstract

Sea travel, integral to the evolution of civilization, has enabled global migration, exploration, commerce, and war. As humans traveled further and further from land for increasingly longer periods of time, they developed medical and surgical conditions requiring treatment at sea. Infectious diseases, nutritional deficiencies like scurvy, and injuries sapped the crew’s effectiveness. To treat illness and injury underway, medical and surgical personnel embarked on warships and merchant vessels. As medicine and surgery have matured, naval surgeons have pioneered surgery and resuscitation at sea.

If you be constrained to use your saw, let first your patient be well informed of eminent danger of death by the use thereof; prescribe him no certainie of life, and let the work be done with his owne free will, and request, and not otherwise.

The Surgion’s Mate, 1617, John Woodall, on amputation

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Paine LP. The sea and civilization: a maritime history of the world. 1st ed. New York: Alfred A. Knopf; 2013.

    Google Scholar 

  2. Galanakos SP, Bot AG, Macheras GA. Pelvic and lower extremity injuries in Homer’s Iliad: a review of the literature. J Trauma Acute Care Surg. 2015;78(1):204–8.

    Article  PubMed  Google Scholar 

  3. Koutserimpas C, Samonis G. Machaon: the first trauma surgeon in Western history? J Wound Care. 2018;27(10):659–61.

    Article  PubMed  Google Scholar 

  4. Filippou D, Tsoucalas G, Panagouli E, Thomaidis V, Fiska A. Machaon, son of Asclepius, the father of surgery. Cureus. 2020;12(2):e7038.

    PubMed  PubMed Central  Google Scholar 

  5. Pryor JH, Jeffreys E. The age of the dromōn: the Byzantine navy ca. 500–1204. Leiden: Brill; 2011.

    Google Scholar 

  6. Hale JR. Lords of the sea: the epic story of the Athenian navy and the birth of democracy. New York: Viking; 2009.

    Google Scholar 

  7. Taylor JS. Military and naval medical men in Roman and medieval times. Mil Surg. 1917;40:589–94.

    Google Scholar 

  8. Roddis LH. A short history of nautical medicine. New York: P. B. Hoeber; 1941.

    Google Scholar 

  9. Hippocrates AF. The genuine works of Hippocrates. London: Printed for the Sydenham Society; 1849.

    Google Scholar 

  10. Soliman F, Sturgeon G, Hargest R. Revisiting an ancient treatment for transphincteric fistula-in-ano ‘There is nothing new under the sun’ Ecclesiastes 1v9. J R Soc Med. 2015;108(12):482–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Stavridis J. Sea power: the history and geopolitics of the world’s oceans. New York: Penguin Press; 2017.

    Google Scholar 

  12. Mann WL. The origin and early development of naval medicine. US Nav Inst Proc. 1929;55(9):772–82.

    Google Scholar 

  13. Simpson JY. Was the Roman army provided with medical officers? Edinburg: Sutherland and Knox; 1856.

    Google Scholar 

  14. Milne J. Surgical instruments in Greek and Roman times. Oxford: Clarendon Press; 1907.

    Google Scholar 

  15. Bliquez LJ. The tools of Asclepius: surgical instruments in Greek and Roman times. Leiden: Brill; 2015.

    Book  Google Scholar 

  16. Taylor JS. A retrospect of naval and military medicine. US Nav Med Bull. 1921;15(15):561–626.

    Google Scholar 

  17. Brocke T, Barr J. The history of wound healing. Surg Clin North Am. 2020;100(4):787–806.

    Article  PubMed  Google Scholar 

  18. Brill JB, Harrison EK, Sise MJ, Ignacio RC. The history of the scalpel: from flint to zirconium-coated steel. Bull Am Coll Surg. 2018;103(2):34–8.

    Google Scholar 

  19. Kosmidis IA, Katonis P, Bisbinas I, Trompoukis C. Orthopedic medical instruments: from antiquity to modern times--a historical essay. J Trauma Acute Care Surg. 2013;74(2):692–8.

    Article  PubMed  Google Scholar 

  20. Gurunluoglu R, Gurunluoglu A. Paul of Aegina: landmark in surgical progress. World J Surg. 2003;27(1):18–25.

    Article  PubMed  Google Scholar 

  21. Adams F. The seven books of Paulus Aegineta. Translated from Greek. With a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery, in three volumes. London: Sydenham Society; 1844-1847.

    Google Scholar 

  22. Mann WL. Medical tactics in naval warfare. US Nav Med Bull. 1926;24(2):1–94.

    Google Scholar 

  23. Amundsen DW. Medieval Cannon law on medical and surgical practice by the clergy. Bull Hist Med. 1978;52(1):22–44.

    CAS  PubMed  Google Scholar 

  24. Mitchell PD. Medicine in the crusades: warfare, wounds, and the medieval surgeon. New York: Cambridge University Press; 2004.

    Google Scholar 

  25. Robinson JO. The barber-surgeons of London. Arch Surg. 1984;119(10):1171–5.

    Article  CAS  PubMed  Google Scholar 

  26. Druett J. Rough medicine: surgeons at sea in the age of sail. New York: Routledge; 2000.

    Book  Google Scholar 

  27. Goethe H, Watson EN, Jones DT. Handbook of nautical medicine. Berlin: Springer; 1984.

    Book  Google Scholar 

  28. Dobson J. Barber into surgeon. Ann R Coll Surg Engl. 1974;54(2):84–91.

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Watt J. The injuries of four centuries of naval warfare. Ann R Coll Surg Engl. 1975;57(1):3–24.

    CAS  PubMed  PubMed Central  Google Scholar 

  30. Woodall J, Müller I. The surgions mate: the first compendium on naval medicine, surgery and drug therapy (London 1617). In: Edited and Annotated by Irmgard Müller. Classic texts in the sciences. 1st edn. Cham: Springer: Imprint: Birkhäuser; 2016. p. 1. (online resource (VI, 343 pages 152 illustrations, 48 illustrations in color).

    Google Scholar 

  31. Watt J. The surgery of sea warfare from the galley to the nuclear age. Trans Med Soc Lond. 1980;97:1–15.

    PubMed  Google Scholar 

  32. Longfield-Jones GM. John Woodall, surgeon general of the East India company. Part I: events leading to Woodall’s appointment. J Med Biogr. 1995;3(1):11–9.

    Article  CAS  PubMed  Google Scholar 

  33. Longfield-Jones GM, Woodall J. Surgeon general of the East India company. Part II: a consideration of the provision made for treating injuries and diseases at sea. J Med Biogr. 1995;3(2):71–8.

    Article  CAS  PubMed  Google Scholar 

  34. Brown K. Poxed and scurvied: the story of sickness and health at sea. Annapolis: Naval Institute Press; 2011.

    Google Scholar 

  35. Evans A. Journal kept on board the United States frigate constitution, 1812. Penn Mag Hist Biogr. 1895;19(2):152–69.

    Google Scholar 

  36. Sobocinski A. Under the lantern light: navy medicine in the war of 1812. Grog. 2012;7(3):4–7.

    Google Scholar 

  37. Estes JW. Naval surgeon: life and death at sea in the age of sail. Canton: Science History Publications; 1998.

    Google Scholar 

  38. Smollett T, Blewett D. Roderick random. London: Penguin Books; 1995.

    Google Scholar 

  39. Watt J. The burns of seafarers under oars, sail and steam. Injury. 1980;12(1):69–81.

    Article  CAS  PubMed  Google Scholar 

  40. Crumplin MK. The death of an admiral--surgery and medicine in Nelson’s Navy. J R Nav Med Serv. 2012;98(1):48–53.

    Article  CAS  PubMed  Google Scholar 

  41. Fredriksen JC. Surgeon of the lakes: the diary of Dr. Usher Parsons, 1812–1814. Erie: Erie County Historical Society; 2000.

    Google Scholar 

  42. Langley HD. A history of medicine in the early U.S. Navy. Baltimore: Johns Hopkins University Press; 1995.

    Book  Google Scholar 

  43. Plain JJ. Concise, practical remarks on the treatment of wounds and fractures. New York: John Holt; 1775.

    Google Scholar 

  44. Haycock DB, Archer S. Health and medicine at sea, 1700–1900. Woodbridge: Boydell Press; 2009.

    Google Scholar 

  45. Gordon MB. Naval and maritime medicine during the American revolution. Ventnor: Ventnor Publishers; 1978.

    Google Scholar 

  46. United States. Continental congress. Rules for the regulation of the navy of the united colonies of North America. Washington, DC: Naval Historical Foundation, Inc.; 1944.

    Google Scholar 

  47. Cutter L, Clarke T Jr. Anesthesia advances during the civil war. Mil Med. 2014;179(12):1503.

    Article  PubMed  Google Scholar 

  48. Browne J. Report of Surgeon Browne, U.S. Navy, U.S.S. Kearsarge, regarding the treatment of those wounded in the engagement between that vessel and the C.S.S. Alabama, July 23, 1864. Official Records of the Union and Confederate Navies in the war of the rebellion (ORN), vol. 1, no. 3; 1864. p. 69–71.

    Google Scholar 

  49. Wise G. Letter from Quartermaster Wise, U.S. Army, to Flag-Officer Foote, U.S. Navy describing the new hospital boat Red Rover. ORN. 1862;1(23):153–4.

    Google Scholar 

  50. Adams W. Red Rover: first hospital ship of the U.S. Navy. Proc US Nav Inst. 1968;94(11):789.

    Google Scholar 

  51. Power HI. Battleship Texas. College Station: Texas A&M University Press; 1993.

    Google Scholar 

  52. Pugh WS Jr. Report of surgical cases from the USS Tacoma. US Nav Med Bull. 1910;4(2):171–80.

    Google Scholar 

  53. Williams RB. Direct transfusion of blood in a case of shock and hemorrhage. US Nav Med Bull. 1910;4(3):372–5.

    Google Scholar 

  54. Watt J. Some forgotten contributions of naval surgeons. J R Soc Med. 1985;78(9):753–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Wallace AF. The influence of the Battle of Jutland on plastic surgery. Clin Plast Surg. 1983;10(4):657–63.

    CAS  PubMed  Google Scholar 

  56. Nahrwold DL, Kernahan PJ. A century of surgeons and surgery: the American College of Surgeons 1913–2012. Chicago: American College of Surgeons; 2012.

    Google Scholar 

  57. Falciola V, Waisel DB. Surgical and anesthetic challenges aboard non-hospital ships in the Pacific during world war II. J Anesth Hist. 2018;4(4):214–21.

    Article  PubMed  Google Scholar 

  58. Mrazek C. Wardroom operating table for destroyers. US Nav Med Bull. 1944;43(5):1044–6.

    Google Scholar 

  59. Tomlinson WL. Problems in surgery on a destroyer. US Nav Med Bull. 1945;45(5):977–81.

    Google Scholar 

  60. Tadlock MD, Gurney J, Tripp MS, et al. Between the devil and the deep blue sea: a review of 25 modern naval mass casualty incidents with implications for future distributed maritime operations. J Trauma Acute Care Surg. 2021;91(2S Suppl 2):S46–55.

    Article  PubMed  Google Scholar 

  61. USS Texas: War Diary, June 1-30, 1944. Office of Naval Records and Library (RG 38). College Park: National Archives and Records Administration; 1994.

    Google Scholar 

  62. Interview with CAPT (ret.) James A Naismith. Conducted by Tom Holland, October 8, 2000. 2000 battleship Texas crew Reunion. Texas Parks and Wildlife Department - Battleship Texas Archives; 2000.

    Google Scholar 

  63. USS Texas: Historical Account of Medical Department Activities during World War II. December 1, 1945. Washington, DC: Bureau of Medicine and Surgery, Department of the Navy; 1945.

    Google Scholar 

  64. Lane RL, Mäkelä R. Rudder’s rangers. 1st ed. Manassas: Ranger Associates; 1979.

    Google Scholar 

  65. Lane DA. Hospital ship doctrine in the United States navy: the Halsey effect on scoop- and-sail tactics. Mil Med. 1997;162(6):388–95.

    Article  CAS  PubMed  Google Scholar 

  66. USS LST-931: General Action Report, Iwo Jima, Nanpo Shoto, 22 March 1945, and War Diary, February 1945. College Park: Office of Naval Records and Library (RG 38), NARA; 1945.

    Google Scholar 

  67. Schwartz JL. Experiences in battle of the Medical Department of the Navy. In: The history of the Medical Department of the United States Navy in world war II, vol. I. Washington, DC: United States Government Printing Office; 1953. p. 63–132.

    Google Scholar 

  68. Rich NM, Baugh JH, Hughes CW. Acute arterial injuries in Vietnam: 1,000 cases. J Trauma. 1970;10(5):359–69.

    Article  CAS  PubMed  Google Scholar 

  69. Vietnam Vascular Registry. Records, privacy and declassification Division of the Office of the Secretary of Defense, Washington, DC; 2 Aug 1969.

    Google Scholar 

  70. Stanley J. From cabin ‘Boys’ to captains: 250 years of women at sea. Stroud: The History Press; 2016.

    Google Scholar 

  71. New Bedford whaling museum research library Mss 95. Sub-group 2: Mary J. Stickney Papers, 1858-1880 [1 volume].

    Google Scholar 

  72. Marra J, O’Sullivan S, Burger S. Women in the Navy Medical Corps. https://mccareer.org/2021/01/28/throwback-thursday-classic-post-women-in-the-navy-medical-corps/. Accessed 15 Oct 2020.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Matthew D. Tadlock .

Editor information

Editors and Affiliations

Ethics declarations

The views expressed in this chapter are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, nor the US Government.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Conflict of Interest Statement

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

Copyright information

© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tadlock, M.D., Hernandez, A.A., Miller, B.T. (2023). The Ship’s Surgeon and Surgery at Sea: A Brief History. In: Tadlock, M.D., Hernandez, A.A. (eds) Expeditionary Surgery at Sea. Springer, Cham. https://doi.org/10.1007/978-3-031-21893-4_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-21893-4_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-21892-7

  • Online ISBN: 978-3-031-21893-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics