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
Scio me retro ad inspiciendam altitudinem mulieris frequentius organi
mentionem fecisse quod Graecitas dioptran vocat. Et quoniam nisi
insinuata fuerit disciplina quatenus hoc ipsud fieri possit,
occurrente necessitate obstetrices facere non audent, idcirco placuit
nobis ut etiam hoc gynaeciis adderemus, ut ex rebus huic corpori
necessariis nihil dimisisse videamur. Itaque supinam iactans eam quae
inspici habet, accipies fasciam longam et in media parte eius duobus
laqueis factis, ita ut inter se cubitum unum habeant laquei illi,
duabus vero manibus mulieris missis, medietatem quae interest cervici
eius inducis. Deinde reliqua fasciae sub anquilas missa ad manus
alligabis, ita ut patefacti pedes ventri eius cohaereant. Deinde
accepto organo et uncto priapisco, quem Graeci loton dicunt, in
aliquantum ad prunas calefacere (debes), deinde sine quassatione
priapiscum inicere, susum scilicet axe posito, iubere etiam ministro
ut aperiendo organo axem torquere incipiat, ut paulatim partes ipsae
aperiantur. Cum vero post visum organo tollere volueris, ministro
iubere ut iterum axem torqueat quo organum claudi possit, ita tamen ut
cum adhuc in aliquantum patet sic auferatur, ne universa clusura
aliquas teneat et nocere incipiat.
We have also preserved by Paul a chapter by Archigenes on abscess of the
womb (VI. lxxiii), in which the different parts of the speculum are again
named, and from it also we learn that there were different sizes of the
instrument proportioned to suit different ages. The patient having been
fixed in the lithotomy position in the manner described by Soranus:
'The operator is to make the examination with a speculum (διόπτρα)
proportioned to the age of the patient. The person using the speculum
should measure with a probe the depth of the woman's vagina, lest the
priapiscus of the speculum (τοῦ τῆς διόπτρας λωτοῦ) being too long it
should happen that the uterus be pressed on. If it be ascertained that
the tube is longer than the woman's vagina, folded compresses are to
be laid on the labia in order that the speculum may be laid on them.
The priapiscus is to be introduced while the screw (τὸν κοχλίον) is
uppermost. The speculum is to be held by the operator. The screw is to
be turned by the assistant, so that the blades of the tube (τῶν
ἐμπλησμάτων τοῦ λωτοῦ) being separated, the vagina may be expanded.'
Public-domain text, read in full here on John Shaqi.
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