Enrique Finochietto
Encyclopedia
Enrique Finochietto was a distinguished Argentine academic, physician and inventor.

Life and work

Enrique Finochietto was born in 1881 in Buenos Aires
Buenos Aires
Buenos Aires is the capital and largest city of Argentina, and the second-largest metropolitan area in South America, after São Paulo. It is located on the western shore of the estuary of the Río de la Plata, on the southeastern coast of the South American continent...

 to Ana and Tomás Finochietto. His father died during his early childhood, and he was raised mostly by his mother. He excelled in industrial design
Industrial design
Industrial design is the use of a combination of applied art and applied science to improve the aesthetics, ergonomics, and usability of a product, but it may also be used to improve the product's marketability and production...

 while in secondary school, and enrolled at the University of Buenos Aires
University of Buenos Aires
The University of Buenos Aires is the largest university in Argentina and the largest university by enrollment in Latin America. Founded on August 12, 1821 in the city of Buenos Aires, it consists of 13 faculties, 6 hospitals, 10 museums and is linked to 4 high schools: Colegio Nacional de Buenos...

 in 1897.

Finochietto interned at the university's Clinical Hospital, becoming an assistant to a noted surgeon, Dr. Alejandro Posadas. His thesis, El Pie-Bot Varus-Equino-Congénito, earned him a medical degree
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 with honors, in 1904. He entered the Clinic of Skin and Venereal Diseases, a dependency of Buenos Aires' important Rawson Hospital, as a surgical intern.

Finochietto studied nose and throat
Otolaryngology
Otolaryngology or ENT is the branch of medicine and surgery that specializes in the diagnosis and treatment of ear, nose, throat, and head and neck disorders....

, gynecological and orthopedic
Orthopedic surgery
Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system...

 surgical practices in numerous western European hospitals from 1906 to 1909 and, on his return, he was appointed chief of a surgical division at Rawson Hospital – where he lived in order to be on hand for emergencies. He returned to Europe in 1918, working during World War I
World War I
World War I , which was predominantly called the World War or the Great War from its occurrence until 1939, and the First World War or World War I thereafter, was a major war centred in Europe that began on 28 July 1914 and lasted until 11 November 1918...

 in the Argentine Hospital for the Wounded in Passy
Passy
Passy is an area of Paris, France, located in the XVIe arrondissement, on the Right Bank. It is traditionally home to many of the city's wealthiest residents.Passy was formerly a commune...

, near Paris
Paris
Paris is the capital and largest city in France, situated on the river Seine, in northern France, at the heart of the Île-de-France region...

. For these efforts, he received the Legion of Honor and the Red Cross Medal, in 1919. Finochietto then traveled to the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 to observe surgical practices at the Mayo Clinic
Mayo Clinic
Mayo Clinic is a not-for-profit medical practice and medical research group specializing in treating difficult patients . Patients are referred to Mayo Clinic from across the U.S. and the world, and it is known for innovative and effective treatments. Mayo Clinic is known for being at the top of...

 and other prominent hospitals, before returning to Argentina.

The surgeon returned to Buenos Aires, where he was named the chief of the surgical division at Rawson Hospital, then undergoing an extensive enlargement and modernization. Finochietto planned the new surgical pavilion (Pavilion IX), where he worked alongside his brothers, Drs. Miguel Ángel and Ricardo Finochietto. Pavilion IX included numerous innovations of his design such as an outpatient department with separate dressing and examining rooms, separate sterile dressing packages, a narrower stretcher (that could maneuver through the halls more easily), separate departments of orthopedic surgery
Orthopedic surgery
Orthopedic surgery or orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system...

, endoscopy
Endoscopy
Endoscopy means looking inside and typically refers to looking inside the body for medical reasons using an endoscope , an instrument used to examine the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ...

 and pathology
Pathology
Pathology is the precise study and diagnosis of disease. The word pathology is from Ancient Greek , pathos, "feeling, suffering"; and , -logia, "the study of". Pathologization, to pathologize, refers to the process of defining a condition or behavior as pathological, e.g. pathological gambling....

 (among others), and laboratories and radiology
Radiology
Radiology is a medical specialty that employs the use of imaging to both diagnose and treat disease visualized within the human body. Radiologists use an array of imaging technologies to diagnose or treat diseases...

 departments in the hospital itself. He also eliminated the unwieldy book form of medical records that had existed previously, and instead created separate envelopes for patients.

Dr. Finochietto not only changed the way surgical pavilions were organized and operated, he also invented many surgical instruments, having sixty-seven inventions to his credit. These included an electric surgical table which allowed a patient to be moved to any position, a special orthopedic table, a thoracic rib spreader
Rib spreader
A rib spreader is a type of retractor specifically designed to separate ribs in thoracic surgery. Rack-and-pinion-type stainless steel rib spreaders were an innovation introduced by French surgeon Theodore Truffier in 1914...

 (1936), the surgical vacuum, the "Finochietto scissors," and a bench that allowed surgeons to operate while seated. Establishing the Surgical Graduate School of Buenos Aires, he also changed how surgery was taught and performed in Argentina. Finochietto insisted on giving students more practical experience in surgery and included instruction on proper, professional demeanor throughout a surgical procedure.

He also taught as a Clinical Professor of Surgery at the University of Buenos Aires
University of Buenos Aires
The University of Buenos Aires is the largest university in Argentina and the largest university by enrollment in Latin America. Founded on August 12, 1821 in the city of Buenos Aires, it consists of 13 faculties, 6 hospitals, 10 museums and is linked to 4 high schools: Colegio Nacional de Buenos...

, and became the president of the Buenos Aires Surgical Society in 1922. He developed new surgical techniques in 1924 for the treatment of the stomach
Stomach
The stomach is a muscular, hollow, dilated part of the alimentary canal which functions as an important organ of the digestive tract in some animals, including vertebrates, echinoderms, insects , and molluscs. It is involved in the second phase of digestion, following mastication .The stomach is...

, duodenum
Duodenum
The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear and the terms anterior intestine or proximal intestine may be used instead of duodenum...

, and small intestine
Small intestine
The small intestine is the part of the gastrointestinal tract following the stomach and followed by the large intestine, and is where much of the digestion and absorption of food takes place. In invertebrates such as worms, the terms "gastrointestinal tract" and "large intestine" are often used to...

. Dr. Finochietto in 1929 performed the first intervention on a cardiac lesion in Argentina, successfully repairing a bullet wound to the heart of a minor.

Dr. Finochietto was also an avid fan of the Tango
Tango music
Tango is a style of ballroom dance music in 2/4 or 4/4 time that originated among European immigrant populations of Argentina and Uruguay . It is traditionally played by a sextet, known as the orquesta típica, which includes two violins, piano, double bass, and two bandoneons...

, and he counted legendary crooner Carlos Gardel
Carlos Gardel
Carlos Gardel was a singer, songwriter and actor, and is perhaps the most prominent figure in the history of tango. He was born in Toulouse, France, although he never acknowledged his birthplace publicly, and there are still claims of his birth in Uruguay. He lived in Argentina from the age of two...

 among his close friends. One of the best-known composers in the genre, Julio de Caro
Julio de Caro
Julio de Caro was an Argentine composer, musician and conductor prominent in the Tango genre.-Life and work:...

, composed Buen amigo (Good Friend) in his honor, in 1925. A noted academic, he published over 100 peer-reviewed papers and began work on a sixteen-volume surgical guide with his brother, Ricardo. Finochietto, who had contracted syphilis
Syphilis
Syphilis is a sexually transmitted infection caused by the spirochete bacterium Treponema pallidum subspecies pallidum. The primary route of transmission is through sexual contact; however, it may also be transmitted from mother to fetus during pregnancy or at birth, resulting in congenital syphilis...

 during his travels abroad, suffered from worsening health, and he accepted retirement from the university in 1933 as professor emeritus. The ailing surgeon extracted a hydatid cyst
Echinococcosis
Echinococcosis, which is often referred to as hydatid disease or echinococcal disease, is a parasitic disease that affects both humans and other mammals, such as sheep, dogs, rodents and horses. There are three different forms of echinococcosis found in humans, each of which is caused by the larval...

from a child in 1940 - his last surgical intervention. His condition forced him to abandon his practice and he continued writing until his death on February 17, 1948, at age 66.
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