Kurt Semm
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Kurt Karl Stephan Semm (23 March 1927 – 16 July 2003) was a German
gynecologist Gynaecology or gynecology (see American and British English spelling differences) is the area of medicine concerned with conditions affecting the female reproductive system. It is often paired with the field of obstetrics, which focuses on pre ...
and pioneer in
minimally invasive surgery Minimally invasive procedures (also known as minimally invasive surgeries) encompass surgical techniques that limit the size of incisions needed, thereby reducing wound healing time, associated pain, and risk of infection. Surgery by definition ...
. He has been called "the father of modern
laparoscopy Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.Medli ...
".


Biography

Semm was born to Margarete and Karl Semm in Munich where he attended the Realgymnasium. At the end of World War II he was drafted for the Wehrmacht at the age of 16 and became briefly a Soviet prisoner of war. Upon his return he worked as a toolmaker, before, in 1946, he was able to begin his medical studies at the
Ludwig-Maximilians-Universität München The Ludwig Maximilian University of Munich (simply University of Munich, LMU or LMU Munich; ) is a public university, public research university in Munich, Bavaria, Germany. Originally established as the University of Ingolstadt in 1472 by Duke ...
. He received his MD degree in 1951 and worked at the II. Universitäts-Frauenklinik München. After his
habilitation Habilitation is the highest university degree, or the procedure by which it is achieved, in Germany, France, Italy, Poland and some other European and non-English-speaking countries. The candidate fulfills a university's set criteria of excelle ...
in 1958 he worked at the Frauenklinik Lindenstrasse. In 1964, the university named him Professor and he returned to the II. Universitäts-Frauenklinik. In 1970 Semm was named Director of the Gynecologic Services of the
University of Kiel Kiel University, officially the Christian Albrecht University of Kiel, (, abbreviated CAU, known informally as Christiana Albertina) is a public research university in the city of Kiel, Germany. It was founded in 1665 as the ''Academia Holsator ...
. Semm retired in 1995 and moved to
Tucson, Arizona Tucson (; ; ) is a city in Pima County, Arizona, United States, and its county seat. It is the second-most populous city in Arizona, behind Phoenix, Arizona, Phoenix, with a population of 542,630 in the 2020 United States census. The Tucson ...
. He died from complications of
Parkinson's disease Parkinson's disease (PD), or simply Parkinson's, is a neurodegenerative disease primarily of the central nervous system, affecting both motor system, motor and non-motor systems. Symptoms typically develop gradually and non-motor issues become ...
. Semm was married twice. His first wife, Roswitha, died in 1986 from breast cancer. In 1994 he married Iseult O'Neill. They have two children.New York Times obituary
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Work

Richard Fikentscher got Semm interested in the treatment of
infertility In biology, infertility is the inability of a male and female organism to Sexual reproduction, reproduce. It is usually not the natural state of a healthy organism that has reached sexual maturity, so children who have not undergone puberty, whi ...
. In 1957, Fikentscher, Semm and three other physicians founded of the Deutsche Gesellschaft zum Studium der Fertilität und Sterilität, renamed Deutsche Gesellschaft für Reproduktionsmedizin in 1998. In the 1960s Semm started to use laparoscopy – he named it ''pelviscopy'' - for gynecologic indications, initially as a diagnostic tool, but soon realizing that the laparoscopic approach had potential for interventive surgery. His experience as toolmaker let him to found the WISAP medical instrument company in 1959 allowing him to developed numerous instruments among them an automated electronic insufflator, uterine manipulators, thermocoagulators to stop bleeding, and extra- and intracorporeal endoscopic knotting devices to tie off vessels or remove organs. When Semm introduced laparoscopic surgery at the University of Kiel, he had to undergo a brain scan at the request of coworkers as "only a person with brain damage would perform such laparoscopic surgery". During the 1970s Semm pioneered numerous gynecologic laparoscopic operations so that the end of the decade he had performed myomectomies, ovariectomies, ovarian cysts resections, removals of
tubal pregnancy Tubal (, ''Tuḇāl''), in Genesis 10 (the "Table of Nations"), was the name of a son of Japheth, son of Noah. Modern scholarship has identified him with Tabal. Traditionally, he is considered to be the father of the Caucasian Iberians (ancestor ...
, and others. On 13 September 1980 Semm performed the first laparoscopic
appendectomy An appendectomy (American English) or appendicectomy (British English) is a Surgery, surgical operation in which the vermiform appendix (a portion of the intestine) is removed. Appendectomy is normally performed as an urgent or emergency procedur ...
opening up the path for a much wider application of minimally invasive surgery. At first, his operation was severely criticized. Initial attempts to publish it were rejected, and the
American Journal of Obstetrics and Gynecology The ''American Journal of Obstetrics and Gynecology'' (AJOG) is a peer reviewed journal of obstetrics and gynecology. It is popularly called the "Gray Journal". Since 1920, AJOG has continued the American Journal of Obstetrics and Diseases of Wom ...
indicated that his technique was "unethical". The president of the German Surgical Society demanded that Semm should be suspended from medical practice. But Semm was tireless in advocating his techniques and gradually got some surgeons interested. In 1985
Erich Mühe Erich Mühe (23 May 1938 – 20 November 2005) was a German surgeon known for performing the first laparoscopic cholecystectomy in 1985. Biography Erich Mühe completed medical school in 1966 and finished his surgical training at the University ...
showed that Semm's laparoscopic approach could be applied for
cholecystectomy Cholecystectomy is the surgical removal of the gallbladder. Cholecystectomy is a common treatment of symptomatic gallstones and other gallbladder conditions. In 2011, cholecystectomy was the eighth most common operating room procedure performed i ...
, and it became the gold standard within a decade and remains so. With the acceptance by general surgery, minimally invasive surgery expanded its applications. Semm produced over 700 publications and spoke at over 1,300 national or international meetings and conventions. He made over 1,000 improvements to instruments.


Awards

* President of the '' International Federation of Fertility Societies'' (1986–89) * Member of
Deutsche Akademie der Naturforscher Leopoldina The German National Academy of Sciences Leopoldina (), in short Leopoldina, is the national academy of Germany, and is located in Halle (Saale). Founded on 1 January 1652, based on academic models in Italy, it was originally named the ''Academi ...
(1986) *
Bundesverdienstkreuz The Order of Merit of the Federal Republic of Germany (, or , BVO) is the highest federal decoration of the Federal Republic of Germany. It may be awarded for any field of endeavor. It was created by the first President of the Federal Republic ...
(1987) *
Bayerischer Verdienstorden The Bavarian Order of Merit () is the Order of Merit of the Free State of Bavaria. It is awarded by the Minister-President of Bavaria as a "recognition of outstanding contributions to the Free State of Bavaria and the Bavarian people". The orde ...
(1991) * Excel Award for Outstanding Contributions To Laparoscopic, Robotic and Minimally Invasive Surgery. SLS The Society of Laparoscopic and Robotic Surgeons (1992) * ''
Fellow A fellow is a title and form of address for distinguished, learned, or skilled individuals in academia, medicine, research, and industry. The exact meaning of the term differs in each field. In learned society, learned or professional society, p ...
of the
Royal College of Obstetricians and Gynaecologists The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional association based in London, United Kingdom. Its members, including people with and without medical degrees, work in the field of obstetrics and gynaecology, that is ...
'' * ''Fellow of the
International College of Surgeons The International College of Surgeons (ICS) is a global organization dedicated to promoting excellence of surgeons and surgical specialists worldwide. It was founded in 1935 by Max Thorek and is headquartered in Chicago, Illinois. ICS works thou ...
ad honorem'' (1992) *
Bundesverdienstkreuz The Order of Merit of the Federal Republic of Germany (, or , BVO) is the highest federal decoration of the Federal Republic of Germany. It may be awarded for any field of endeavor. It was created by the first President of the Federal Republic ...
(1995) * Honorary member Deutsche Gesellschaft für Gynäkologie und Geburtshilfe (1996) * ''Pioneer in Endoscopy Award'' (Society of American Gastrointestinal Endoscopic Surgeons) (2002) * Honorary membership of the '' International Society of Gynecological Endoscopy'' (2003) * ''Kurt-Semm-Award'', for video contributions in
hysteroscopy Hysteroscopy is the inspection of the uterine cavity by endoscopy with access through the cervix. It allows for the diagnosis of intrauterine pathology and serves as a method for surgical intervention (operative hysteroscopy). Hysteroscope A hyst ...
and laparoscopic surgery by the Deutsche Gesellschaft für Gynäkologie und Geburtshilfe


Selected publications

* Semm K: ''Pelviskopie und Hysteroskopie – Farbatlas u. Lehrbuch.'' Schattauer Verlag, Stuttgart 1976, * Semm K: ''Atlas of gynecologic laparoscopy and hysteroscopy.'' Saunders, Philadelphia 1977, * Semm K: ''Diapositiv-Atlas der Pelviskopie, Hysteroskopie und Fetoskopie.'' (1979) * * Semm K: ''Operationslehre für endoskopische Abdominal-Chirurgie: operative Pelviskopie, operative Laparoskopie'' Schattauer Verlag, Stuttgart 1984, * Semm K: ''Pelviscopy - operative guidelines for "minimally invasive surgery" following an organ oriented classification.'' WISAP, Sauerlach b. München 1992, * Semm K: ''Pelviskopie, ein operativer Leitfaden nach einer organ-orientierten Klassifizierung für „minimal invasive Chirurgie.'' WISAP, Sauerlach b. München 1991, * * * * * * * Semm K ''Operationen ohne Skalpell: ein Gynäkologe als Wegbereiter der Minimal Invasiven Medizin'' (Autobiografie), ecomed Verlag, Landsberg 2002, * Mettler L, Semm K: ''Endoskopische Abdominalchirurgie in der Gynäkologie.'' Schattauer Verlag, Stuttgart 2002,


References

{{DEFAULTSORT:Semm, Kurt Endoscopy German gynaecologists 1927 births 2003 deaths Commanders Crosses of the Order of Merit of the Federal Republic of Germany