A child who lived on the Indonesian island of Borneo around
31,000 years ago underwent the oldest known surgical operation, which was an
amputation of their lower left leg. The surgery was conducted by one or more
hunter-gatherers who had detailed knowledge of human anatomy and considerable
technical skill, which enabled the child to avoid fatal blood loss and
infection. The healed bone where the lower leg was amputated indicates that the
ancient youth survived for at least six to nine years after the surgery before
dying at the age of 19 or 20.
There is no evidence of crushing from an accident or an
animal bite at the amputation site, leading the researchers to suspect that an
unidentified medical problem led to the operation.
This discovery
represents the oldest known amputation, with the previous oldest being a farmer
from France whose left forearm was surgically removed nearly 7,000 years ago.
In North Africa, surgeries to create skull openings may have occurred as early
as 13,000 years ago. It is unknown what type of tool was used in the ancient
operation on Borneo or whether the patient was sedated with a plant-based
concoction.
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