Mathieu Jaboulay
Encyclopedia
Mathieu Jaboulay was a French surgeon
Surgeon
In medicine, a surgeon is a specialist in surgery. Surgery is a broad category of invasive medical treatment that involves the cutting of a body, whether human or animal, for a specific reason such as the removal of diseased tissue or to repair a tear or breakage...

 who was born in Saint-Genis-Laval
Saint-Genis-Laval
Saint-Genis-Laval is a commune in the Rhône department in eastern France, near Lyon.At Saint-Genis-Laval, the Lyon astronomical observatory is placed.-References:*...

, which is a community in the department of Rhône. He studied and practiced medicine in Lyon
Lyon
Lyon , is a city in east-central France in the Rhône-Alpes region, situated between Paris and Marseille. Lyon is located at from Paris, from Marseille, from Geneva, from Turin, and from Barcelona. The residents of the city are called Lyonnais....

, where in 1902 he became a professor of clinical surgery. Two of his better known students at Lyon were Alexis Carrel
Alexis Carrel
Alexis Carrel was a French surgeon and biologist who was awarded the Nobel Prize in Physiology or Medicine in 1912 for pioneering vascular suturing techniques. He invented the first perfusion pump with Charles A. Lindbergh opening the way to organ transplantation...

 (1873-1944) and René Leriche
René Leriche
René Leriche was a famous French surgeon.-Eponymous terms:René Leriche gave his name to two syndromes:...

 (1879-1955).

Jaboulay is remembered for his introduction of new surgical procedures, as well as his work involving techniques of vascular anastomosis
Anastomosis
An anastomosis is the reconnection of two streams that previously branched out, such as blood vessels or leaf veins. The term is used in medicine, biology, mycology and geology....

. In 1892 he introduced the side-to-side gastroduodenostomy
Gastroduodenostomy
Gastroduodenostomy is a surgical procedure where the doctor creates a new connection between the stomach and the duodenum. This procedure may be performed in cases of stomach cancer or in the case of a malfunctioning pyloric valve....

, which is an operation used when the pylorus
Pylorus
The pylorus is the region of the stomach that connects to the duodenum . It is divided into two parts:* the pyloric antrum, which connects to the body of the stomach.* the pyloric canal, which connects to the duodenum....

 and proximal 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...

 are badly scarred, and in 1894 performed the first inter-ilio abdominal amputation
Amputation
Amputation is the removal of a body extremity by trauma, prolonged constriction, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventative surgery for...

 or hemipelvectomy
Hemipelvectomy
A hemipelvectomy is a high level pelvic amputation. Along with hip disarticulations, hemipelvectomies are the rarest of lower extremity amputations. In some cases, an internal hemipelvectomy can be performed, which is a limb-sparing procedure. A complete hemipelvectomy, however, is the...

, which involves amputation of the entire leg through the sacroiliac joint
Sacroiliac joint
The sacroiliac joint or SI joint is the joint in the bony pelvis between the sacrum and the ilium of the pelvis, which are joined together by strong ligaments. In humans, the sacrum supports the spine and is supported in turn by an ilium on each side...

. This operation is sometimes referred to as "Jaboulay's amputation". He is credited with performing the first sympathectomic operation
Sympathectomy
A Sympathectomy is a procedure during which at least one sympathetic ganglion is removed.An example is endoscopic thoracic sympathectomy....

 for alleviation of vascular disease. This surgery is described in his treatise Chirurgie du grand sympathique et du corps thyroïde (Surgery of the sympathetic system
Sympathetic nervous system
The sympathetic nervous system is one of the three parts of the autonomic nervous system, along with the enteric and parasympathetic systems. Its general action is to mobilize the body's nervous system fight-or-flight response...

 and thyroid gland), which is considered to be his best written work.

In 1906 Jaboulay made the first attempts at human kidney transplantation
Kidney transplantation
Kidney transplantation or renal transplantation is the organ transplant of a kidney into a patient with end-stage renal disease. Kidney transplantation is typically classified as deceased-donor or living-donor transplantation depending on the source of the donor organ...

, when he transplanted pig and goat kidney
Kidney
The kidneys, organs with several functions, serve essential regulatory roles in most animals, including vertebrates and some invertebrates. They are essential in the urinary system and also serve homeostatic functions such as the regulation of electrolytes, maintenance of acid–base balance, and...

s into patients suffering from chronic renal failure. Unfortunately, the operations were unsuccessful. His name is associated with "Jaboulay button", a device used for performing lateral intestinal anastomosis without the need of sutures.
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