World Journal of Surgery

, Volume 30, Issue 8, pp 1400–1402 | Cite as

Tolstoy’s Report of Five Cases of Chest Trauma: Its Relevance to Contemporary Military Surgical Experience

  • Tamas F. MolnarEmail author
  • Laszlo Lukacs


Fragments of the history of trauma care, an important part of our surgical heritage, can offer a relevant message to contemporary science, even at the level of statistical evaluations. A surprisingly good match of results using two distinctively different approaches for calculating survival after a chest injury is reported in a historical model. Statistical data published by French and British surgeons serving in the Crimean War (1853–1856) were found to conform with the analysis of literary observations in Leo Tolstoy’s Sebastopol Sketches. The nearly complete agreement on survival probabilities from two sources so different in their nature highlights the question of the relevance of nonstatistical methods in other fields of surgery as well.


Chest Trauma Thoracic Trauma Chest Injury Russian Side Russian Soldier 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Special thanks are due to Chloe Campbell (Penguin, London, UK), Dr. Howard Rickenberg (Marseille, France), and Mr. Anthony J. Morgan (Bristol, UK) without whose generous help and contribution this article would never have been written.


  1. 1.
    Schein M, editor. Aphorisms and Quotations for the Surgeon. Shrewsbury, Shropshire, UK, tfm Publishing, 2003;143Google Scholar
  2. 2.
    Molnar TF, Hasse J, Jeyasingham K, et al. Changing dogmas: history of development in treatment modalities of traumatic penumothorax, hemothorax and posttraumatic empyema thoracis. Ann Thorac Surg 2004;77:372–378PubMedCrossRefGoogle Scholar
  3. 3.
    Edgerton RB. Death or Glory: The Legacy of the Crimean War. Oxford, Westview Press, 1999Google Scholar
  4. 4.
    Blaisdell FW. Medical advances during the Civil War. Arch Surg 1988;123:1045–1050PubMedGoogle Scholar
  5. 5.
    Garrison FH. The statistical lessons of the Crimean War. Milit Surg 1917;41:457–473Google Scholar
  6. 6.
    King JD, Harris JH. War wounds of the chest among marine and naval casualties in Korea. Surg Gynecol Obstet 1953;97:199–212PubMedGoogle Scholar
  7. 7.
    Tolstoy L. The Sebastopol Sketches. London, Penguin, 1986Google Scholar
  8. 8.
    Nichols R. Casualty. In: Clapham M, editor. The Wordsworth Book of First World War Poetry. Ware, UK, Wordsworth Editions, 1995;p61Google Scholar

Copyright information

© Société Internationale de Chirurgie 2006

Authors and Affiliations

  1. 1.Faculty of MedicineUniversity of PécsPécsHungary

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