Johannes Friedrich August Von Esmarch

Johannes Friedrich August Von Esmarch

German surgeon
Date of Birth: 09.01.1823
Country: Germany

Biography of Friedrich August von Esmarch

Friedrich August von Esmarch was a German surgeon who made significant contributions to the improvement of hospital management and the development of military field surgery. He perfected the methods of bloodless surgery by applying special bandages to occlude blood vessels and performing operations with minimal blood loss.

Johannes Friedrich August Von Esmarch

Born on January 9, 1823, in Tönning, which was then part of the Danish territory but is now in Schleswig-Holstein, Germany, Friedrich was raised in an academic family with doctors, lawyers, and pastors. His father, Theophilius Christian Kaspar Esmarch, was a brilliant surgeon, and young Friedrich greatly admired him and decided to follow in his footsteps. He completed his high school education and then went on to study medicine in Kiel, and later in Göttingen. It was during his university years that von Esmarch developed a true passion for surgery. He caught the attention of the renowned surgeon, Professor Bernhard Rudolf Konrad von Langenbeck, who soon became his mentor and role model. Von Langenbeck was not just an inspiration for the young von Esmarch, but an idol to aspire to. This admiration for his great teacher remained with von Esmarch throughout his life.

Johannes Friedrich August Von Esmarch

However, the promising career of the young surgeon was abruptly interrupted by the outbreak of war, during which he was captured at the beginning and later exchanged for a Danish military physician. It was during this time, serving in the war, that von Esmarch gained extensive experience. He started as an assistant and later became the chief surgeon of a military hospital. In 1851, von Esmarch returned to Kiel, where he began working at the university surgical clinic under the guidance of Professor Stromeyer. In 1854, he became the director of the clinic, and in 1857, he was awarded the title of full professor. Before his time in Kiel, von Esmarch had already traveled throughout Europe to exchange experiences with surgeons in Germany, Austria, Hungary, France, and England. Throughout his career, von Esmarch devoted a significant amount of time to military service, working as a consulting surgeon in field hospitals during times of conflict. He played a crucial role in military sanitation, becoming one of the pioneers of asepsis and antisepsis. During the Franco-Prussian War of 1870-1871, he served as the chief physician and military field surgeon. In Kiel and Hamburg, he organized teams of medical attendants, and over time, the practice of involving the civilian population in providing assistance to the wounded became very popular.

Von Esmarch is known for introducing the method of "artificial exsanguination" to surgery. This method was simultaneously simple and ingenious - it involved reducing blood loss during limb surgeries by tightly bandaging the limb with a rubber bandage from the periphery to the center. Afterward, a tourniquet was applied, and then the rubber bandage was removed. In 1873, von Esmarch presented this method for the first time at a congress of German surgeons, and it soon gained widespread use, becoming unrivaled by any other technique. By stopping blood loss during surgeries, von Esmarch significantly reduced the cases of patient deaths due to blood loss in military field conditions. In addition to this method, von Esmarch developed numerous surgical improvements and instruments. Among his inventions, he is most widely known as the inventor of the Esmarch's cup (a device for enemas). However, he also designed an anesthesia mask, a knife for removing plaster casts, angled scissors for removing bandages, and a tourniquet, among many other significant and minor innovations aimed at both facilitating the surgeon's work and alleviating the patient's suffering.

Furthermore, von Esmarch was the organizer and promoter of involving the civilian population in providing assistance to the wounded during times of war. He authored several educational courses and programs for teaching the public medical first aid techniques. He was also a staunch supporter of the goals set by the Red Cross organization. His highly humanitarian and emotional pamphlet, "The Struggle of Humanitarianism Against the Horrors of War," is well-known. Von Esmarch's first wife was the daughter of his colleague and superior, Stromeyer. After her death, he married Henriette, Princess of Schleswig-Holstein-Sonderburg-Augustenburg, thus becoming related to the German emperor.

Friedrich August von Esmarch passed away on March 23, 1908, in Kiel. Some of his written works are considered classics, such as "Diseases of the Rectum and Anus," "Resection of Joints in Gunshot Injuries," and "Aphorisms on Cancerous Growths."

The name of Friedrich August von Esmarch is engraved in the history of global surgery.

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