An Exclusive Club
This is a special guest blog by Emily Mayhew, a military medical historian who is also a member of the Editorial Board for Adam Matthewâs new resource, Medical Services and Warfare, 1928-1949.
In the Second World War, the nature of the air war, flying fighter and bomber aircraft, caused an injury so unique it was known specifically as the Airmanâs Burn. Airmanâs Burn included the destruction of facial features, such as cheeks, eyelids and lips, and substantial damage to the hands. The complex injuries required delicate and lengthy plastic surgery procedures to create replacements using skin grafts. No surgeons anywhere in the world had performed such procedures before, so each patient was an experiment. As the patient cohort grew, they began to see themselves collectively as âGuinea Pigsâ and thus the Guinea Pig Club was born. A selection of primary sources relating to this exclusive club can be found in the new resource Medical Services and Warfare 1928-1949 alongside a video interview with Bob Marchant, Secretary of the Guinea Pig Club and former colleague of McIndoe.
Its founders called it âthe most exclusive club in the worldâ and by the end of the war it had 649 Royal Air Force crew members. The entrance fee was âsomething most men would not care to pay.â Each of them had endured and survived serious burns injury in the course of their service. Additionally, the âarduous conditions of membershipâ included that those burns injuries were treated at one particular surgical unit, the Queen Victoria hospital at East Grinstead, and by one particular surgeon: Archibald McIndoe.
McIndoe, born in New Zealand, was the consultant plastic surgeon to the Royal Air Force. Each month of war brought him and his teams of anaesthetists, physiotherapists and nurses new patients for their ward. They learned quickly, and became the leading unit in the world, both during and after the war. Their work was not only about solving the complex surgical challenges but also in securing the recovery for their patients beyond the operating theatre. McIndoeâs philosophy is one that holds as true today as it did in the dark days of 1940:
Real and lasting satisfaction is derived from what the patient does with what the surgeon achieves, rather than from the purely technical aspect of the repair.
Medical Services and Warfare 1928-1949, now published, contains extensive primary sources documenting the rapid development of burns treatments and plastic surgery necessitated by the Second World War, including government reports, personal accounts, medical texts and photographs.