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Updated: Jun 21, 2026

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
[Examples of emergency surgery. Ectopic pregnancy, biliary ileus, appendicitis]
Raoul Lebert1, Philippe Bonnichon, Richard Douard
1Chirurgien général et digestif retraité, Nice.
Home surgery was common in the early 20th century but declined post-WWII due to advancements in anesthesia and hospital care. Some remote areas continued home-based surgical emergency care into the 1950s.
Area of Science:
- Medical History
- Surgical Practices
Context:
- Home-based surgery was a prevalent practice in the first half of the 20th century.
- Advancements in anesthesia and healthcare infrastructure led to the decline of home surgeries after World War II.
- Despite hospital modernization, some countries maintained home surgical practice conditions into the early 20th century.
Purpose:
- To explore the historical evolution of surgical practice settings.
- To document the transition from home-based to hospital-based surgery.
- To understand the factors influencing the persistence of home surgical care in specific regions.
Summary:
- Surgery was frequently performed in homes during the early 1900s.
- Improvements in anesthesia and care facilities gradually replaced home surgeries post-WWII.
- Surgical emergencies were managed at home in remote areas until the 1950s due to transportation limitations.
Impact:
- Highlights the significant shift in surgical care delivery over the 20th century.
- Provides insights into the historical accessibility and limitations of surgical services.
- Underscores the impact of technological and infrastructural development on medical practices.
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