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
A pessary of bronze was found in Pompeii (Pl. LI, fig. 2), and is
described by Ceci. It is hollow and has a plate perforated with holes
(evidently for stitching it on a band, to fix it round the body). Heister
figures a similar instrument. It is impossible to say whether this
specimen was intended for rectal or vaginal use.
CHAPTER X
SUTURES, ETC.
_Sponge._
Greek, σπόγγος; Latin, _spongia_.
Sponges were used for many purposes. Paul (VII. iii) says they should be
fresh and still preserve the smell of the sea. They were applied with
water, wine, or oxycrate to agglutinate wounds, and also soaked in asphalt
and set fire to and applied to wounds to stop haemorrhage.
Galen (_De Simp._ xi) says he has seen haemorrhage stopped by applying a
sponge dipped in asphalt to a bleeding wound and setting fire to it, and
leaving the unburnt part to cover the wound. Celsus says a sponge dipped
in oil and vinegar or cold water relieves gouty swellings. He also
recommends a sponge dipped in vinegar or cold water for stopping
haemorrhage.
Dioscorides says that fistulae may be dilated with sponge tents.
Scribonius Largus says that in epistaxis the nose may be plugged with
sponge:
Proderit et spongeae particulam praesectam apte forfice ad
amplitudinem et patorem narium figuratam inicere paulo pressius ex
aceto per se (xlvi).
Soranus (xli) says haemorrhage from the uterus may be stopped with a
sponge tent:
Ὁπότε τρυφερὸν καὶ καθαρὸν σπογγάριον ἐπιμήκες ὡσαύτως διάβροχον ὡς
ἐσωτάτω παρεντιθέναι προσήκει.
_Sutures._
Celsus (V. xxvi) says sutures should be of soft thread not overtwisted
that they may be the more easy on the part: 'Ex acia molli non nimis
torta quo mitius corpori insidat'. They were made of flax. The apolinose
described by Hippocrates (iii. 132) is directed to be made of crude flax
(ὠμολίνου), the strands of which were stronger than those of dressed lint.
This also is what Paul used for the deligation of arteries.
Galen alludes to sutures of wool, and Paulus Aegineta in the operation for
ectropion says:
'Afterwards we unite the divided parts with a needle carrying a
woollen thread, being satisfied with two sutures.'
We have no mention of catgut being used for this purpose, though that
substance was early known to the Greeks. The Homeric harp was strung with
catgut. In fact χορδή, the term for harp-string, simply means intestines.
Paul used a woman's hair in a needle to transplant hairs in trichiasis
(VI. xiii). Horsehair was used to raise a pterygium in Paul VI. xviii, but
it is not mentioned as being used for suturing wounds.
_Serres Fines._
Greek, ἀγκτήρ; Latin, _fibula_.
Celsus (V. xxvi) in describing the closing of wounds says:
Public-domain text, read in full here on John Shaqi.
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