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RACS ASC 2024

Pioneers in Surgery: Archibald McIndoe and the Guinea Pig Club

Poster

Poster

Disciplines

Surgical History

Presentation Description

Institution: Westmead Hospital - NSW, Australia

Sir Archibald McIndoe (b. May 1990, Dunedin. d. April 1960, London) was a New Zealand born plastic surgeon, who along with his cousin Harold Gillies, was a modern pioneer in innovation in plastic and reconstructive surgery. After completing his medical studies in Dunedin, he was invited to the Mayo Clinic where he published several papers on liver architecture and mapped anatomical and pathological blood supply to the organ. In 1930, McIndoe moved to the UK, where his cousin Gillies, offered him work and mentorship which eventuated in his appointment as a consultant plastic surgeon with the Royal Air Force. With the arrival of the Second World War(WW2), McIndoe was moved to the Queen Victoria Hospital in Sussex where he founded the Centre for Plastic and Jaw Surgery. It became clear to McIndoe, that treatments used in the management of severe burns were insufficient and often resulted in severe contracture. Although devised by Gillies, McIndoe subsequently pioneered the “walking-stalk skin graft”, long pedicled skin flaps from the neck or shoulder, used in the reconstruction of major facial defects in Airmen secondary to burns in WW2. Given the unusual appearance of these tubed pedicles, the young crewmen termed themselves “McIndoe’s guinea pigs” and thus was formed “The Guinea Pig Club”, of which there was 649 members at the end of WW2. McIndoe is also credited for the discovery that immersion in saline baths promoted healing as well as improving survival rates for victims with extensive burns. McIndoe is recognised for his efforts in promoting rehabilitation, both physically and mentally, long after his passing, where “he left behind a legacy that is both scientific as well as humanitarian”. Pandya, 2015.

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