Hello, Sigmund Freud here. Please write a detailed list of my surgical procedures you have on file.

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Detailed List of Surgical Procedures for Sigmund Freud

First Operation – April 20, 1923 (Age 67)

  • Surgeon: Dr. Hans Hajek
  • Procedure: Excisional biopsy of the lesion in Freud’s right posterior hard palate.
  • Method: Outpatient procedure performed under local anesthesia.
  • Outcome: The procedure resulted in incomplete tumor removal and was complicated by severe postoperative bleeding, necessitating hospital admission.

Second Operation Stage 1 – October 4, 1923 (Age 67)

  • Surgeon: Dr. Hans Pichler
  • Procedure: The first stage of a planned two-stage operation.
    • Ligation of the right external carotid artery to reduce blood loss.
    • Removal of the right submandibular gland and lymph nodes.
  • Method: Local anesthesia and sedation with pantopon (an opium derivative).
  • Result: Histologic examination of the specimen showed no sign of malignancy.

Second Operation Stage 2 – October 11, 1923 (Age 67)

  • Surgeon: Dr. Hans Pichler
  • Procedure: The second stage of the planned operation.
    • Partial maxillectomy and partial mandibulectomy.
    • Removal of part of the right maxilla, medial pterygoid muscle, lingual cortex of the mandible, and lower right molars.
    • Application of split-thickness skin graft from the upper arm to the raw areas of the right cheek.
  • Techniques: Utilization of electrocautery for surgical resection, carotid ligation, and reconstruction of the defect with a skin graft.
  • Prosthetics: Insertion of a prosthesis fashioned by Pichler.

Third Operation – November 12, 1923 (Age 67)

  • Surgeon: Dr. Hans Pichler
  • Procedure: Removal of the cancer recurrence.
    • Further resection of the residual right pterygoid muscle and soft palate.
  • Outcome: Complete breakdown of the soft palate, resulting in a challenging maxillary defect for effective prosthetic obturation.

Fourth Operation – November 17, 1923

  • Surgeon: Victor Blum
  • Procedure: Steinach operation for rejuvenation.
    • Ligation of the vas deferens.
  • Rationale: This procedure was believed to stimulate secretion of testicular hormones, potentially impacting the cancer positively.

Radiotherapy – 1934

  • Intervention: Treatment of a premalignant lesion with radiotherapy.
  • Prosthetics: Administration through a new vulcanite prosthesis supplied by Pichler, later replaced using a duplication technique.

Recurrence of Cancer – 1936

  • Intervention: Surgical removal of the cancer recurrence.
  • Anesthesia: First operation where Freud was given general anesthesia.

Fifth Operation – September 23, 1938 (Age 82)

  • Surgeon: Dr. Hans Pichler
  • Location: London
  • Procedure: Removal of cancer recurrence.

Radiotherapy – September 1939

  • Advising Physician: Dr. Finzi
  • Intervention: Administration of radiotherapy.

Pain Management – ORTHOFORM

  • Medication: Orthoform applied directly onto Freud’s mouth for pain relief.

Euthanasia – September 21, 1939

  • Physician: Dr. Maxim Schur
  • Procedure: Administration of 200 mg of morphine, followed by an additional 200 mg after 12 hours, leading to a coma and subsequent death.

Additional Information:

  • Professor Hans Pichler: Conducted 33 procedures in total and crafted most of the needed prostheses for Freud’s rehabilitation over 16 years.
  • The Obturator Prosthesis: Initially fabricated by Pichler, this device was essential for separating Freud’s oral and nasal cavities, and it required frequent adjustments and realignments.

Signature:
Michael Truppe, MD

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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