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Surgical Capabilities

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Principles of Clinical Medicine for Space Flight

Abstract

Although no surgical procedures have ever been performed on humans during space flight, the risk of a problem arising that requires surgical intervention is nonetheless real. Until the advent of long duration missions in the US Skylab program and the Russian Salyut and Mir programs, the probability of an inflight problem arising that would require a surgical solution was small; thus clinical experience and expertise in performing surgery on humans in microgravity remained quite limited. The lack of on-site surgical expertise was keenly felt when Russian space program officials were faced with the possible medical evacuation of a Salyut 7 cosmonaut who was experiencing abdominal pain thought to be due to appendicitis. Although that episode turned out to have been caused by probable ureterolithiasis rather than appendicitis—the cosmonaut recovered and did not require an early return to Earth—this experience nonetheless underscored a pressing need in space flight.

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Authors and Affiliations

  1. Paris Regional Medical Center, Paris, TX, USA

    Mark R. Campbell

  2. Trilife Health, PC, Fort Collins, CO, USA

    Roger D. Billica

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Correspondence to Mark R. Campbell .

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  1. NASA Johnson Space Center, Houston, TX, USA

    Michael R. Barratt

  2. Gynecologic Oncology and Reproductive Medicine, University of Texas, MD Anderson Cancer Center, Houston, TX, USA

    Ellen S. Baker

  3. Deceased, Formerly Chief, Medical Sciences Division, NASA Johnson Space Center, Houston, TX, USA

    Sam L. Pool

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Campbell, M.R., Billica, R.D. (2019). Surgical Capabilities. In: Barratt, M., Baker, E., Pool, S. (eds) Principles of Clinical Medicine for Space Flight. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9889-0_7

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