Okten Ali Ihsan
Adana Numune Training and Research Hospital, Department of Neurosurgery, Adana, Turkey.
Turk Neurosurg. 2018;28(2):307-312. doi: 10.5137/1019-5149.JTN.18855-16.1.
The word "minimalism" is a word derived from French the word "minimum". Whereas the lexical meaning of minimum is "the least or the smallest quantity necessary for something", its expression in mathematics can be described as "the lowest step a variable number can descend, least, minimal". Minimalism, which advocates an extreme simplicity of the artistic form, is a current in modern art and music whose origins go to 1960s and which features simplicity and objectivity. Although art, science and philosophy are different disciplines, they support each other from time to time, sometimes they intertwine and sometimes they copy each other. A periodic schools or teaching in one of them can take the others into itself, so, they proceed on their ways empowering each other. It is also true for the minimalism in art and the minimal invasive surgical approaches in science. Concepts like doing with less, avoiding unnecessary materials and reducing the number of the elements in order to increase the effect in the expression which are the main elements of the minimalism in art found their equivalents in medicine and neurosurgery. Their equivalents in medicine or neurosurgery have been to protect the physical integrity of the patient with less iatrogenic injury, minimum damage and the same therapeutic effect in the most effective way and to enable the patient to regain his health in the shortest span of time. As an anticipation, we can consider that the minimal approaches started by Richard Wollheim and Barbara Rose in art and Lars Leksell, Gazi Yaşargil and other neurosurgeons in neurosurgery in the 1960s are the present day equivalents of the minimalist approaches perhaps unconsciously started by Kazimir Malevich in art and Victor Darwin L"Espinasse in neurosurgery in the early 1900s. We can also consider that they have developed interacting with each other, not by chance.
“极简主义”一词源自法语单词“minimum”(最小值)。虽然“minimum”的词汇意义是“某物所需的最少或最小数量”,但其在数学中的表述可描述为“变量所能下降的最低步长,最少的,最小的”。极简主义主张艺术形式极度简化,是现代艺术和音乐中的一种潮流,其起源可追溯到20世纪60年代,特点是简洁和客观。尽管艺术、科学和哲学是不同的学科,但它们有时相互支持,有时相互交织,有时相互借鉴。其中一个学科的周期性流派或教学方法可以融入其他学科,因此,它们在相互促进的道路上不断发展。艺术中的极简主义和科学中的微创外科手术方法也是如此。艺术极简主义的主要元素,如用更少的材料、避免不必要的材料以及减少元素数量以增强表达效果等概念,在医学和神经外科中也有类似的体现。它们在医学或神经外科中的对应理念是以最有效的方式,用更少的医源性损伤、最小的损害来保护患者的身体完整性,并实现相同的治疗效果,使患者能在最短时间内恢复健康。可以预期,20世纪60年代理查德·沃尔海姆和芭芭拉·罗斯在艺术领域以及拉尔斯·莱克塞尔、加齐·亚萨吉尔等神经外科医生在神经外科领域开创的微创方法,可能是20世纪初卡西米尔·马列维奇在艺术领域和维克多·达尔文·勒·埃斯皮纳斯在神经外科领域可能无意识开创的极简主义方法在当今的对应形式。我们还可以认为它们是相互作用发展而来的,并非偶然。