Old Operating Theatre
The Old Operating Theatre Museum is one of London?s most intriguing historic interiors. It is found in the garret of St Thomas's Church, Southwark, on the original site of St Thomas' Hospital. It consists of:
- the oldest surviving operating theatre in the country (dating from 1822), used in the days before anaesthetics and antiseptic surgery.
- the herb garret used by the hospital?s apothecary to store and cure herbs used in healing.
- a collection of artefacts revealing the horrors of medicine before the age of science. Includes instruments for cupping, bleeding, trepanning, and childbirth.
- displays on medieval monastic health care, the history of St Thomas?s, Guy's Hospital and the Evelina Children's Hospitals, Florence Nightingale and nursing, medical and herbal medicine.
The Rebuilding of the Hospital and the Herb Garret
At the end of the 17th century, the hospital and church were largely rebuilt by Sir Robert Clayton, president of the hospital and a former Lord Mayor of London. He employed Thomas Cartwright as architect. (Cartwright was master mason to Christopher Wren at St Mary-Le-Bow). The new church was fitted out with a large Garret constructed in the 'aisled-barn' tradition. Very little information exists about the Garret except that it was fitted with wooden storage racks, and was described as 'the Herb Garret' in 1821. Dried heads of opium plants were found in the rafters. It is likely that the Garret was used by the Hospital's resident Apothecary to store and cure medicinal herbs.
The Building of the Operating Theatre
In 1822 part of the herb garret was converted into a purpose-built operating theatre. This strange situation resulted from the fact that the female surgical ward abutted the garret. Previously operations took place on the ward. Windows were also provided for the Garret at the same time, suggesting that its function changed from storage to a working environment. It may have been used as a recovery ward.
Florence Nightingale and the removal of St. Thomas's to Lambeth
In 1859, Florence Nightingale became involved with St Thomas's, setting up on this site her famous nursing school. It was on her advice that the Hospital agreed to move to a new site when the Charing Cross Railway Company offered to buy the hospital?s land. In 1862, the hospital began the move to its present site at Lambeth and the operating theatre was closed. The theatre lay undiscovered until 1957.
Who were the patients?
The patients were mainly poor people who were expected to contribute to their care if they could afford it. Rich patients were treated and operated on at home rather than in hospital. The patients at the Old Operating Theatre were all women. Those who visit the museum will be relieved to know that the patients did not have to climb the spiral staircase! They came in from the women?s ward through what is now the fire escape.
Operations in the Theatre
Until 1847, surgeons had no recourse to anaesthetics and depended on swift technique (surgeons could perform an amputation in a minute or less), the mental preparation of the patient, and alcohol or opiates to dull the patient?s senses. Thereafter, ether or chloroform started to be used. The Operating Theatre had closed down before antiseptic surgery was invented. The majority of cases were for amputations or superficial complaints as, without antiseptic conditions, it was too dangerous to do internal operations.
A description of the students packing the Theatre to witness an operation has been left by a St Thomas surgeon,
