Surgical Instruments in Greek and Roman TimesMilne, John Stewart
History
Surgical Instruments in Greek and Roman Times
Milne, John Stewart
Surgery -- History; Surgical instruments and apparatus
Paul has a most interesting chapter on the extraction of weapons, and in
it he mentions a special instrument for extracting weapons, evidently a
forceps:
'If the head of the weapon has fixed in the flesh, it is to be drawn
out with the hands, or by laying hold of the appendage which is called
the shaft, if it has not fallen off. This part is commonly made of
wood. When it has fallen off we make the extraction by means of a
tooth forceps, or a stump forceps, or a forceps for extracting weapons
(βελουλκοῦ), or any other convenient instrument. And sometimes we make
an incision in the flesh around it in the first place, if the wound do
not admit the instrument' (VI. lxxxvii).
It is true that etymologically we are only entitled to translate βελουλκοῦ
by 'weapon-extractor', but its association with the other two forceps
shows pretty conclusively that a forceps is meant, and Celsus says weapons
are to be extracted with the forceps under similar conditions. In the
picture of Aeneas wounded, found in a house at Stabiae and now in the
Naples Museum, the surgeon, Iapix, is engaged in extracting a weapon from
the wound in the thigh of the hero. The instrument he is using is a long
forceps with crossed legs (Pl. XLIV).
_Periosteal Elevator for the Pericranium._
Greek, ὑποσπαθιστήρ, σπαθιστήρ.
The hypospathister was an elevator for separating the pericranium from the
calvarium. It gave the name to a formidable operation in which it was
used, viz. hypospathismus. This operation is described by Galen, Aetius,
and Paul, by the latter (VI. vi) best of all. Paul is the only one who
mentions the instrument by name. The operation consisted in making three
vertical incisions, one down each side of the forehead and one down the
centre. Next the skin was raised along with the pericranium from the whole
of the front of the forehead with the hypospathister (ὑποσπαθιστήρ), and
the vessels lying in the raised flaps were subcutaneously divided by a
knife passed under them, with its back to the skull. The elevator by which
the pericranium was separated is called by Paul ὑποσπαθιστήρ. The
operation is mentioned by Epiphanius, a bishop of Alexandria in the fourth
century, by whom the instrument is referred to as σπαθιστήρ.
_Impellent._
Greek, διωστήρ.
In his chapter on the extraction of weapons, one of the most remarkable
chapters in the whole of his works, Paul mentions an impellent for forcing
an arrow head through a part so as to extract it at the side opposite to
that by which it went in.
Public-domain text, read in full here on John Shaqi.
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