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Journal - International Society for the History of Islamic Medicine

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Mostafa SHEHATA HÝSTORY OF ENDOSCOPY<br />

Marsh contributed to early detection <strong>of</strong> bronchogenic<br />

carcinoma by photography through fiber -<br />

optic bronchoscope in 1973 (6,9).<br />

Rayl's work, allowed coloured television documentation<br />

(6).<br />

The best additions are those achieved by Ward<br />

and o<strong>the</strong>rs using <strong>the</strong> Hopkins rod lens telescope with<br />

<strong>the</strong> surrounding fiber - illumination and an antifog<br />

airflow system (6).<br />

Microscopic larygeal surgery, with <strong>the</strong> advantage<br />

<strong>of</strong> more magnification, excellent exposure, binocular<br />

vision, brilliant illumination and bimanual instrumentation<br />

was added in 1968, under <strong>the</strong> leadership <strong>of</strong><br />

Kleinsasser, Ono, Saito, Jako and Strong (6, 10-12, 17).<br />

Laser surgery <strong>of</strong> <strong>the</strong> larynx and bronchi has been<br />

introduced by Strong and Jako in Boston, America in<br />

1972, with <strong>the</strong> advantage <strong>of</strong> <strong>the</strong> precise removal <strong>of</strong><br />

lesions <strong>of</strong> <strong>the</strong> vocal cords, trachea and bronchi (13,17).<br />

The last third <strong>of</strong> this century witnessed a great<br />

progress in <strong>the</strong> production <strong>of</strong> endoscopic material<br />

with new manufactural specifications, variable accessory<br />

instruments and efficient methods <strong>of</strong> documentation<br />

(18).<br />

The endoscopic tubes and <strong>the</strong>ir instruments are no<br />

more named after <strong>the</strong> names <strong>of</strong> <strong>the</strong>ir inventors but<br />

carrying <strong>the</strong> trade name <strong>of</strong> <strong>the</strong> manufacturing firm.<br />

Nowadays <strong>the</strong>re are large leading companies producing<br />

<strong>the</strong> endoscopic equipment on a large commercial<br />

scale in Japan, Germany, United State <strong>of</strong> America,<br />

Britain, France, Italy and many o<strong>the</strong>r countries.<br />

Surgical and medical indications <strong>for</strong> endoscopy<br />

are continuously increasing <strong>for</strong> diagnostic, medical<br />

and surgical purposes (18).<br />

New fields <strong>for</strong> endoscopy have been introduced<br />

not only through <strong>the</strong> natural passages <strong>of</strong> <strong>the</strong> body but<br />

also through surgical openings in <strong>the</strong> abdomen, chest,<br />

skull and o<strong>the</strong>r different body organs.<br />

Most <strong>of</strong> <strong>the</strong> present medical and surgical specialities<br />

consider endoscopy a good effective method in<br />

<strong>the</strong>ir field and is per<strong>for</strong>med regularly in <strong>the</strong>ir medical<br />

practice.<br />

The following shows an updated enumeration <strong>of</strong> <strong>the</strong><br />

endoscopes used in <strong>the</strong> different medical specialities.<br />

1. Otolaryngology: <strong>the</strong> pioneer speciality using<br />

endoscopy, rigid and flexible endoscopes.<br />

Laryngoscopes, Bronchoscopes, Oesophagoscopes,<br />

Nasopharyngoscopes, Stroboscopes, Sinoscopes<br />

and Otoscopes. The last two are <strong>of</strong> <strong>the</strong> rigid types.<br />

2. Chest Surgery: Rigid and flexible Bronchoscopes.<br />

Rigid Thoracoscopes and Mediastinoscopes.<br />

3. Abdominal Surgery: Rigid and flexible<br />

Oesophagoscopes, Gastroscopes, Duodenoscopes,<br />

Colonoscopes, Choledochoscopes, Rectosigmoidoscopes,<br />

Proctoscopes, Labaroscopes. The last<br />

two are always rigid types.<br />

4. Gynaecology: Rigid endoscopes as<br />

Hysteroscopes, Culdoscopes, Labaroscopes and<br />

Flexible Fallopioscopes.<br />

5. Urology: Rigid and Flexible Cystoscopes,<br />

Urethroscopes, Ureteroscopes, Nephroscopes and<br />

Labaroscopes.<br />

6. Orthopaedic Surgery: Rigid type Arthroscope (=<br />

Jointscope).<br />

7. Neuro-Surgery: Rigid type Encephaloscope.<br />

8. Plastic Surgery: Rigid small endoscopes in face<br />

lift surgery.<br />

By time more medical specialities are on <strong>the</strong> way to<br />

use <strong>the</strong> endoscopes <strong>for</strong> more efficient and careful diagnosis<br />

and treatment <strong>of</strong> <strong>the</strong> different body diseases.<br />

REFERENCES<br />

1. Ghaliongui and El Dawakhly. The Preservation <strong>of</strong> <strong>the</strong> Body.<br />

In: Health and Healing in Ancient Egypt. Cairo, Egypt: Dar<br />

El-Maaref, 1965: 31.<br />

2. Sercer A.: Tracheostomy Through Two Thousand Years <strong>of</strong><br />

<strong>History</strong>. Ciba Symposium <strong>Journal</strong>, 1962; 10(2): 78.<br />

3. Alberti P.W.: The Evolution <strong>of</strong> Laryngology and<br />

Laryngectomy in <strong>the</strong> Mid. 19th Century. The Laryngoscope<br />

<strong>Journal</strong>, U.S.A., 1975:85-288.<br />

4. Singer C., Underwood A. Short <strong>History</strong> <strong>of</strong> <strong>Medicine</strong>. 2nd edition U.K.: Ox<strong>for</strong>d Clarendon Press, 1962: 249.<br />

5. Arturo Castiglioni. A <strong>History</strong> <strong>of</strong> <strong>Medicine</strong>. Translated from<br />

Italian and edited by E.P. Krumbhaar, second edition. New<br />

York: Alfred Knopf, 1958: 874-1029.<br />

6. James Snow. Broncho-oesophagology. Chapter 58. In:<br />

Diseases <strong>of</strong> <strong>the</strong> Nose, Throat and Ear, edited by John Jacob<br />

Ballenger, 12th edition. Philadelphia: Lea and Febiger,<br />

1977: 997.<br />

7. Ikeda S.: Flexible Bronch<strong>of</strong>iberscope. Ann. Otol. Rhinol.<br />

Laryngol. 1970; 89: 916.<br />

8. Holinger P.H.: Photography <strong>of</strong> <strong>the</strong> Larynx, Trachea,<br />

Bronchi and Esophagus. Trans. Amer. Acad. Ophthalm.<br />

Otolaryng. 1942; 46: 153.<br />

62 JISHIM 2004, 3

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