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The e-mémoires of the Académie Nationale de Chirurgie

Thierry de Martel and the Society of Surgery: Building the Conditions of Possibility of the Surgical Act

Johan PALLUD

Seance of wednesday 03 june 2026 (Communications libres)

DOI number : 10.26299/q6gj-kx45/emem.2026.23.03

Abstract

Thierry de Martel (1875–1940) remains a major figure in French surgery and one of the founders of modern neurosurgery. Yet his career presents a paradox: he built a lasting surgical legacy without fully belonging to the traditional academic and hospital system. Based on original archival sources (correspondence, institutional archives, press materials, iconography, and documents from the Society of Surgery), this presentation examines the foundations of this singular trajectory.
Beyond a biographical perspective, the aim is to explore how Thierry de Martel transformed surgical practice by creating the material, technical, bodily, and collective conditions that made surgical action possible, safer, and transmissible. His trajectory highlights several dimensions: experimental learning of operative technique outside conventional academic pathways; the development of surgical instruments designed to improve safety; efforts to make surgery more reproducible; and the formative role of war in shaping an ethics of endurance, self-mastery, and responsibility.
Finally, this presentation argues that Thierry de Martel’s legacy extends beyond technical innovation and raises a broader question about what it means to be a surgeon: to innovate, sustain action under uncertainty, and transmit knowledge beyond institutions.