In November of 1960 the Soviet vessel OB sailed from Leningrad on an Antarctic expedition. Their mission was to construct a new polar base and spend the winter there. On February 18th of 1961 the base, called Novolazarevskaya, was opened. Their ship sailed leaving 12 residents to survive in their new shelter. They were iced in and contact with the outside world was impossible. Among the twelve person crew was a 27 year old surgeon named Leonid Ivanovich Rogozov. His role was as the team's doctor, although he was also trained as a meteorologist and driver.
In April of that year Rogozov's heath began to decline. We wrote in his diary on the 29th,
"It seems that I have appendicitis. I am keeping quiet about it, even smiling. Why frighten my friends? Who could be of help? A polar explorer’s only encounter with medicine is likely to have been in a dentist’s chair."
Rogozov could diagnose the ailment, but as the only doctor, could not treat it. With the snowstorms above an airlift was out of the question and the lakes had frozen over preventing ship rescue. By the 30th his condition had worsened. He was vomiting and could no longer hide his illness from the crew. Rogozov came to a terrible conclusion, he would have to operate... on himself.
"I did not sleep at all last night. It hurts like the devil! A snowstorm whipping through my soul, wailing like a hundred jackals. Still no obvious symptoms that perforation is imminent, but an oppressive feeling of foreboding hangs over me . . . This is it . . . I have to think through the only possible way out: to operate on myself . . . It’s almost impossible . . . but I can’t just fold my arms and give up."
"18.30. I’ve never felt so awful in my entire life. The building is shaking like a small toy in the storm. The guys have found out. They keep coming by to calm me down. And I’m upset with myself—I’ve spoiled everyone’s holiday. Tomorrow is May Day. And now everyone’s running around, preparing the autoclave. We have to sterilize the bedding, because we’re going to operate.
"20.30. I’m getting worse. I’ve told the guys. Now they’ll start taking everything we don’t need out of the room."
The room was scrubbed clean and two of his comrades were prepped to assist with the surgery. His body was repositioned at a 30 degree angle with his right hip slightly elevated. He opted to work on himself without gloves so he could work via sense of touch.
Rogozov began the surgery with a 10 to 12 centimeter incision. About forty minuted into the procedure he had to start taking breaks due to general weakness and vertigo. Finally after an hour and forty five minutes the surgery ended with Rogozov taking sleeping pills to ensure as sound a sleep as possible.
The operation was a success and within two weeks he was able to resume normal duties. A steady regiment of anti-biotics prevented infection. Analysis of the appendix determined that if he had waited a day it would have ruptured and ended his life. He returned to the Soviet Union on the next boat and never returned to the Antarctic. He became a teacher at First Leningrad Medical Institute. He died on September 21st 2000, nearly forty years after he had operated on himself.
-Professor Walter