The Terror of the 19th century operating table: No drugs and patients were fully awake

No drugs. No sedation. Half of those who underwent surgery in the 19th century didn’t survive the experience. WARNING: Graphic

Scottish surgeon Robert Liston was known as the “Fastest Knife in the West End,” amputating a leg in under 30 seconds.

He was so incredibly strong and agile he was able to use his left arm as a tourniquet, while he wielded the knife in his right hand, as the patient writhed around, screaming in fear and agony.

Liston would keep both hands free by clasping a bloody knife between his teeth. He had learned to steel himself against the screams of those strapped to the operating table in the theatre, which was usually packed to the rafters with medical students and curious members of the public, attracted to the gore and sheer horror of the operation.

Once, when Liston brought down his knife to slice off a patient’s leg, he was so focused on being speedy that he sliced off three of his assistant’s fingers. And, as he swung the knife back up, he managed to slice a spectator’s coat — causing him to collapse and die on the spot.

Artery forceps are used as a clamp to stop bleeding during surgery. This type of forceps was invented by Robert Liston (1794–1847), an English surgeon famous for his speed and skill in surgery. They are often referred to as “bulldog” forceps. Credit: Science Museum, London. CC BYSource:Supplied

Half of those who underwent surgery in the 19th century didn’t survive the experience. The operating theatres were no place for the squeamish; once Liston…