Abstract
Bronisław Kader (1863–1937) introduced one of the traditional methods of gastrostomy. He was a Polish doctor who had been trained by such eminent surgeons as Ernst von Bergmann, Otto E. Küstner, Jan Mikulicz, and Eduard von Wahl. The Kader method implies blunt division of the left rectus muscle and opening of the stomach by a very small incision. A drainage tube is then inserted and fastened to the stomach wall by a stitch. Next, the stomach wall is sutured to the abdominal wall in a manner that places the tube in a tunnel surrounded by serosa. In comparison to others, Kader’s method of gastrostomy was considered simpler, cheaper (fewer stitches), speedy, and safe. Although recommendations to perform gastric fistula were limited at the time, the value of gastrostomy remains undisputable. This is a method of choice for securing alimentation in cases of intractable stenosis of the pharynx or esophagus, which are usually due to cancer, chemical burns, trauma, or congenital defects. Nowadays, it is performed endoscopically or laparoscopically. This article presents the life history of Bronisław Kader, the eponymous of this method and a gifted surgeon who lost his eyesight at the height of his fame.
Highlights
Bronisław Kader (1863–1937) introduced one of the traditional methods of gastrostomy
In 1881, he completed his secondary school education in Vilnius and left for Dorpat to study medicine under famous German scholars and to enjoy some freedom there [2]. Kader received his diploma in medicine in 1889. This delay was because of his work in the surgical clinic run by Eduard von Wahl (1833–1890), an expert in vascular, abdominal, and gland surgery [3], and in the clinic for women run by Otto E
In the doctoral dissertation entitled ‘‘The case study of topical flatulence resulting from intestinal obstruction’’ (‘‘Ein experimenteller Beitrag zur Frage des lokalen Meteorismus bei Darmocclusion’’), guided by Wahl as a supervisor and based on experiments carried out on more than 100 animals, he gave a detailed explanation on the anatomopathologic changes in various cases of intestinal obstruction [5]
Summary
Bronisław Kader (1863–1937) introduced one of the traditional methods of gastrostomy. After graduation from Dorpat University, Kader took up the position of assistant in Wahl’s clinic. When Jan Mikulicz (1850–1905), a worldwide renowned surgeon, offered him the position of assistant in a surgical clinic in Breslau ( Wrocław), Kader accepted this proposal willingly as it was a great chance to be trained by the Polish surgeon.
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