英语翻译Long ago,operation had usually to be done while the sick

英语翻译
Long ago,operation had usually to be done while the sick man could feel everything． The sick man had to be held down on a table by force while the doctors did their best for him． He could feel all the pain if his leg or arm was being cut off,and his fearful cries filled the room and the hearts of those who watched．
只需要知道最后一句话是什么意思,还有who指的谁