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
Oribasius treats of cutting the hair as a regular medical procedure, in a
special chapter, περὶ κουρᾶς καὶ ξυρήσεως. Celsus also frequently refers
to cutting the hair as a therapeutic measure. Possibly the ancients found
difficulty in putting an edge sufficiently smooth for surgical purposes on
their shears. We have a few references to the use of the shears for
cutting tissues. Celsus, in the treatment of abdominal injury with
protusion of omentum, says:
Omentum quoque considerandum est: ex quo, si quid iam nigri et emortui
est, forfice excidi debet: si integrum est, leniter super intestina
deduci (VII. xvi).
Again in the operation for the radical cure of hernia he says:
Fuerunt etiam qui omentum forfice praeciderent: quod in parvulo non
est necessarium; si maius est, potest profusionem sanguinis facere,
siquidem omentum quoque venis quibusdam etiam maioribus illigatum est.
Neque vero, si discisso ventre id prolapsum forfice praeciditur, quum
et emortuum sit et aliter tutius avelli non possit, inde huc exemplum
transferendum est (VII. xxi):
'There have been others who cut away the omentum with scissors, which
is unnecessary if the portion is small; and if very great it may
occasion a profuse haemorrhage, since the omentum is connected with
some of even the largest veins. But this objection cannot be applied
in cases where, the belly being cut open, the prolapsed omentum is
removed with shears, since it may be both gangrenous and unable to be
removed in any other way with safety.'
We have also two references in Paulus Aegineta. He says some of the
moderns effect a cure of warty excrescences on the penis by a pair of
shears (ψαλίδι, VI. lviii), and dealing with relaxation of the scrotum he
says that Antyllus, having first transfixed the superfluous skin with
three or four ligatures, cut off what was external to them with a pair of
sharp-pointed shears or a scalpel (ψαλίδι ἐπάκμῳ ἢ σμίλῃ), and having
secured the parts with sutures he effected healing with the treatment for
recent wounds.
Shears are very common objects in museums. Some are of bronze and some are
of steel. Judging from the relative numbers in which they have been
preserved it would seem that the steel shears far outnumbered the bronze.
In Pl. X, fig. 5 is shown a bronze pair from the Naples Museum, found in
Pompeii.
CHAPTER IV
PROBES
Greek, μήλη, κοπάριον, ὑπάλειπτρον, ὑπαλειπτρίς; Latin, _specillum_.
This is a very comprehensive class. The original specillum was no doubt a
simple sound. Varro thus defines the specillum: 'Quo oculos inunguimus
quibus specimus specillum est. Graecis μήλη dicitur.' Thus it meant a
probe or sound.
μήλη is probably derived from μῆλον, an apple or fruit, from the olivary
enlargement at the end of a sound.
Public-domain text, read in full here on John Shaqi.
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