Gynecomastia Surgery in the Early Ottoman Period: An Evaluation of Şerefeddin Sabuncuoğlu’s Contributions

Şerefeddin Sabuncuoğlu (c. 1385–1470) was one of the most prominent surgeons of the early Ottoman period, particularly noted for his systematic and visually documented surgical approaches to breast tissue. His principal work, Cerrahiyyetü’l-Hâniyye, is based on the 30th volume of the Andalusian physician al-Zahrawi’s Kitab al-Tasrif, yet it goes well beyond a translation by incorporating Sabuncuoğlu’s clinical observations, experiential knowledge, and original surgical explanations. The text provides detailed descriptions of breast pathologies, including gynecomastia, and outlines diagnostic procedures, therapeutic strategies, surgical drainage methods, local wound-cleansing practices, and the definitions and uses of numerous surgical instruments, many of which are illustrated via miniatures. His second major work, Mücerrebnâme, is equally significant from a pharmacotherapeutic perspective, containing experiential prescriptions for swelling, inflammation, and painful breast lesions and reflecting the empirical reasoning he applied to drug-based treatments. Together, these two works portray Sabuncuoğlu as a versatile physician who combined operative techniques with pharmacological knowledge, offering a comprehensive view of medical practice in the early Ottoman period. His detailed account of gynecomastia surgery, supported by observations on pre- and postoperative care, represents an important source for understanding both medieval surgical practice and the development of anatomical and therapeutic knowledge in the Islamic medical tradition.