Louis XIV's Famous Fistula Operation
or
How the Music of "God save the King" was invented
 
In 1686, the king Louis XIV was found to be
suffering from anal fistulas, which where hardly
helped by his many laxatives. First a good
conservative treatment was sought
 
Several patients with similar fistulas were located
and sent to various health-resorts. This was set up as
a scientificaly controlled experiment: four men
had spent a year taking the sulphurous waters
at Bourbonne-les-Bains. In no case were the results encouraging.
The court doctor was then forced
to try a fistula-salve invented by a jacobite monk,
who did not even belong to the guild. His annoyance
was presumably lessened by the observation that it
did not work either.
 
An operation was the solution. Charles François Félix,
the court surgeon, had never cut a fistula in his life.
To begin with, he practiced on patients from the
poor-hospitals of Paris. Meanwhile, a silver bistoury
(since known as bistouri à la royale, or narrow-
bladed knife for making incisions), was constructed-
its nearest ancestry being in Galen.
 
At seven in the morning on November 18, the
operation took place in the king's bedchamber at
Versailles. The only onlookers were Madame de
maintenon, a Minister of War named Louvois,
the priest La Chaise, the doctors Daquin, Fagon
and Besnières and four apothecaries who were
to hold the patient.
 
Everything was recorded: Félix cut twice with the
bistoury and eight times with scissors. The king
never flinched or uttered a sound of pain. Not even
his breathing rate changed - according to the protocol.
This may be doubted, since the secretary must have
expected that the king would read it later and want a
testimony of sublime heroism. An hour after the
operation, Louis underwent blood-letting, a likely
sign that the was deeply affected. Generally he was
quite unwilling to be blood-let, and had not accepted
this "life-saving" procedures some years earlier,
when his arm was thrown out of joint.
 
A courrier sped to the Dauphin who, as usual, was
away hunting. The crown prince rushed home and
entered the bedchamber "too disturbed to speak".
In the churches of Paris, faithful crowds gathered
to pray. Another messenger told Madame de Montespan
at Fontainebleau that she was not welcome at Versailles.
We may thus discredit a story that she went to the
patient, found her rival Maintenon calmly sewing
by his side, and retired to her appartements in a fit
of hysteria.
 
That same evening, Louis insisted on holding a
council. On the following day he received the
ambassadors, though he was now clearly feeling
pain. His suffering was by no means over. Félix
did not want the wounds to heal too quickly, and
operated again on December 6,8 and 10. It was
on January 11 that the king first promenaded in the
Orangerie at Versailles. The people then offered
their good whishes at a public feast with 236 courses.
 
This operation had a momentous historical outcome.
During convalescence, Louis visited the cloister
of Saint-Cyr. To celebrate the occasion, the nuns
ordered a cantata entitled Dieu Sauvez le Roi
to be composed. An Englishman happened to be
present and, enjoying the words and melody,
wrote them down. Once home, he translated the
text and it has since been known as "God save
the King"...
But the story does not really end here. According to one
of our reader with a keen eyesight, this seems to be a legend
forged by the Marquise de Créquy, in the 19th century.
You will find all the detailed information on Wikipedia
http://en.wikipedia.org/wiki/God_Save_the_King

Knut Haeger
The Illustrated History of Surgery
Gothenburg, AB Nordbok
1988, page 133