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
We have little difficulty in recognizing among the instruments found in
Pompeii three of the vaginal specula referred to in these passages. All
are excellent specimens of the instrument maker's skill. They are in the
Naples Museum. The first discovered (No. 78,030) was found in the house of
the physician at Pompeii. The blades are at right angles to the instrument
(Pl. XLVII), and when closed form a tube the size of the thumb. On turning
the screw a cross-bar forces the two upper blades outwards, till
sufficient dilation is got for operative purposes. The diameter of the
tube at its maximum of expansion is 0·09 m. The whole instrument is 0·23
m. long. Another instrument on a similar principle but with a quadrivalve
priapiscus was discovered in 1882 (Pl. XLIX). It is 0·315 m. long. It is
now fixed by oxidation, so that the blades cannot be moved. On turning the
screw the lower blades could be drawn downwards, at the same time
separating slightly, while the upper blades diverged also (No. 113,264
Naples Mus.). Lately a third, similar to that shown in Pl. XLVII, has been
found in Pompeii. Note that the screw in the three-bladed instrument is a
left-handed one. That in the four-bladed instrument is right-handed. This
causes right-handed motion to open the instrument in either case. There
is, however, an instrument similar to these trivalve instruments in the
museum at Athens. It differs in having the screw right-handed (Pl.
XLVIII). Mr. Bosanquet, late of the British Institute of Archaeology at
Athens, was kind enough to procure me a photograph of this instrument, but
he tells me that there is no satisfactory account of its provenance and
its authenticity is doubtful. It seems possible that it is a copy of one
of the Naples specimens by some one who has omitted to observe that the
screw in these is left-handed.
_Traction Hook for Embryo._
Greek, ἐμβρυουλκός; Latin, _uncus_.
Celsus has an interesting chapter on the removal of the foetus in
difficult labour. He says (VII. xxix):
Tum, si caput proximum est, demitti debet uncus undique laevis,
acuminis brevis, qui vel oculo, vel auri, vel ori, interdum etiam
fronti recte iniicitur; deinde attractus infantem educit. Neque tamen
quolibet is tempore extrahi debet. Nam, si compresso vulvae ore id
tentatum est, non emittente eo, infans abrumpitur, et unci acumen in
ipsum os vulvae delabitur; sequiturque nervorum distentio, et ingens
periculum mortis. Igitur, compressa vulva, conquiescere; hiante,
leniter trahere oportet; et per has occasiones paulatim eum educere.
Trahere autem dextra manus uncum; sinistra intus posita infantem
ipsum, simulque dirigere eum debet.
Public-domain text, read in full here on John Shaqi.
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