James Marion Sims
- Sims' operation (James Marion Sims)
- Sims' position (James Marion Sims)
- Sims' suture (James Marion Sims)
- Sims' uterus probe (James Marion Sims)
Biography of James Marion Sims
“The father of American gynaecology”
James Marion Sims was a famous pioneer in American gynaecology. He is chiefly remembered for his vaginal speculum, his operational approach to vesico-vaginal fistula, and the lithotomy-position, called Sim’s position.
James Marion Sims’ father was a descendant of English colonist, his mother was of Scottish/Irish origin. He commenced his medical studies at Charleston Medical School in 1833, and from 1834 at the Jefferson Medical College in Philadelphia, where he graduated in 1835. He subsequently settled for a short time as a physician at his home district, Lancaster, and in 1835 moved to Mount Meigs, Montgomery County, Alabama. Five years later he settled the capital of Alabama, Montgomery, where he spent the years until 1853. That year he moved to New York, where he remained for the rest of his life, except for the years he spent abroad.
In 1846 he had established a private gynaecological clinic in Montgomery. Called to see a country woman who had incurred a retroversion of the uterus in a fall from a horse, Sims observed that examination and correction were facilitated by a lateral positioning of the patient. The adoption of this position, the subsequent invention of a special curved speculum and use of silver sutures and a silver catheter (recommended in 1852 and 1858), soon allowed Sims to operate successfully for vesicovaginal fistula, a frequent and distressing complication of childbirth seen particularly among the poor. He saw his first serious case of fistula in a female patient who had the base of her bladder destroyed by a lengthy and difficult labour.
Sim’s procedure (Sims' operation) was so successful that it was soon adopted world-wide. In 1849 he reported the first complete cure. After demonstrating his operation to surgeons in New York, he set up what was possibly the first woman's hospital to deal specifically with gynaecological surgery.
In New York, too, his aim was to establish a gynaecological hospital, and in 1855 was able to open a provisional/temporary hospital. Eventually, in 1866, Woman Hospital for the State of New York was opened, a hospital build according to his concept of pavilions.
In 1861, he travelled to Europe, demonstrating his operation in Edinburgh, London, Paris, Brussels and Dublin, receiving several awards.
- “Here I am again in my beloved Dublin", he wrote in his autobiography, where he was "dined and fêted to satiety".
J Marion Sims continued practising as a surgeon right up to his death in 1883. Within weeks after the death of Dr. James Marion Sims, a suggestion was made in the Medical Record that a statue be erected in his memory. The fame of Dr. Sims was so widespread that a committee was assembled to facilitate the matter. The Sims statue was the first ever to be erected in the United States in honour of a physician and stands today in Bryant Park in New York City. It was erected in 1894.
Despite all his honours, Sims is not an uncontroversial figure. We have received several letters pointing out that he "operated on African slave women without the benefit of anesthesia just to improve his gynecological techniques", and that credit should be given to the black women who suffered and died from his research.
An inscription near his birthplace reads:
"Birthplace of James Marion Sims, m.d.
James Marion Sims, world famed physician
father of modern gynecology
a blessing and a benefactor to women
was born in the farm house of his parents
near this site January 25, 1813
doctor to empress and slave alike
founder of woman's hospital
of the state of New York
knight of the legion of honor of France
honored by european and american governments
he died in the city of New York
November 13, 1883
erected by Lancaster County, 1949
sponsored by Waxhaws chapter, d.a.r."
- Let man learn to be honest and do the right thing or do nothing.
My hands are then henceforth, washed of chloroform and devoted to ether.
Letter to his wife, November 21, 1861. In The Story of my Life, Appendix A.
We thank Betsy Katz for information submitted.
- On the treatment of vesico-vaginal fistula.
American Journal of the Medical Sciences, Thorofare, N.J., 1852.
His silver suture is described in volume 2, pp. 59-82.
Reprinted in Medical Classics, 1938, 2: 677-712.
- Silver sutures in surgery. New York, S. S. & S. W. Wood, 1858. 10 977
This work was originally delivered before the New York Academy of Medicine. Sims recounts his early experience with the use of silver sutures (used to avoid sepsis) and takes full credit for their discovery and adoptation.
- A new uterus elevator.
American Journal of the Medical Sciences, Thorofare, N.J., 1858.
- Amputation of the cervix uteri.
Transactions of the New York Medical Society, 1861: 367-371.
- On vaginismus.
Transactions of the Obstetrical Society of London, 1862; 3: 356-367.
- On the surgical treatment of painful menstruation. Lancet, London, 1865.
- On a new form of curette.
Transactions of the Obstetrical Society of London, 1866; VII.
- Abstract of a paper on procidentia uteri.
Transactions of the Obstetrical Society of London, 1866; VIII.
- Clinical notes on uterine surgery, with reference to the management of the sterile condition.
London, R. Hardwicke, 1866.
A revolutionary and controversial work, written in Paris while Sims was in voluntary exile because of the U.S. Civil War, and first serialised in Lancet, 1864-1865. Included, pp. 16-18, the description of Sim’s duck-billed speculum. Also included important and pioneering work on the treatment of infertility, including analysis of the conditions essential to conception, and record of a successful artificial insemination. American edition, New York, 1866.
- Ovariotomy. British Medical Journal, 1867.
- On the nitroxide gas as an anaesthetic.
British Medical Journal, London, 1868.
- Clinical notes on uterine surgery etc. British Medical Journal, London, 1866.
German translation by Beigel: Klinik der Gebärmutter-Chirurgie, mit besonderer Berücksichtigung der Behandlung der Sterilität. Erlangen, 1866; 2nd edition, 1870. 3rd editions, Stuttgart, 1873.
- Intrauterine fibroid tumors. 1874.
- On Nelaton’s method of resuscitation from chloroform narcosis.
British Medical Journal, London, 1874.
Referring to Auguste Nélaton, French physician and surgeon, 1807-1873.
- Normal ovariotomy: Battey’s operation; oophorotomy.
Medical Times and Gazette, London, 1877.
Referring to Robert Battey, American surgeon, 1828-1895.
- Remarks on cholecystotomy in dropsy of the gall-bladder.
British Medical Journal, London, 1878, 1: 811-815.
- On the extraction of foreign bodies from the ear.
British Medical Journal, London, 1878.
- Remark on Battey’s operation. British Medical Journal, London, 1878.
- The operation of Simpson and Sims for stenosis of the cervix uteri, comparison.
British Medical Journal, London, 1878.
- The treatment of the epithelioma of the cervix uteri.
American Journal of Obstetrics and Diseases of Women and Children, New York, 1879.
- The bromids of ethyl as anaesthetic. Medical Record, New York, 1880.
- Remarks on the treatment of gunshot-wounds of the abdomen in relation to modern peritoneal surgery.
British Medical Journal, London, 1881.
- Microscope in the sterile condition.
- Treatise on ovariotomy. German translation by H. Beigel, 1873.
- History of the discovery of anaesthesia.
- The Story of my Life.
New York, 1884; German translation by Ludwig Weiss, Stuttgart, 1885.
- R. Olshausen:
Ueber Marion Sims und seine Verdienste um die Chirurgie.Address, Berlin, 1897.
- H. E. Sigerist:
Amerika und die Medizin. Leipzig, 1933; pp. 124-128.
- Eric v.d. Luft:
Short biographical notices of Henry Ingersoll Bowditch, Ephraim McDowell, Elisha North, Isaac Ray, Pierre François Olive Rayer, and James Marion Sims.
In: Science and its Times: Understanding the Social Significance of Scientific Discovery, edited by Neil Schlager and Josh Lauer, vol. 5, 1800-1899. Detroit: Gale Group, 2000, pp. 378, 383-386.