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
On probes for wrapping round with wool we frequently raise a screw thread
to enable the wool to adhere better. This useful contrivance was also
known to the ancients. I give a figure of one in my possession. It was
found in the Roman Camp at Sandy (Pl. XXI, fig. 5). It measures 9·7 cm. in
length and is 1·5 mm. thick. The screwed portion occupies 7 mm. of one
end. The other end is plain. The little instrument is well adapted for
treating small cavities, such as an ear or a carious tooth by wrapping
round the screw portion with wool and dipping in medicaments.
_Ear specillum for wounds._
Greek, τραυματικὴ μήλη; Latin, _specillum vulnerarium_.
There was a special variety of ear specillum which was adapted for wounds.
Paul (VI. lxxxviii) says:
'Stones and other missiles from slings may be removed by levers or the
scoop of an ear probe adapted for wounds' (κυαθίσκου τραυματικῆς
μηλωτίδος).
This was probably an instrument on the same principle as the ear probe, i.
e. a combined probe and scoop, but on a larger scale. Possibly it may have
had a slight olivary enlargement. That it was large we learn from Galen's
Lexicon, where μήλην ἰσχυράν is stated to mean τὴν τραυματικὴν μήλην. It
will easily be seen that the _specillum vulnerarium_ has considerable
affinity with the other class of spoon probes which I constituted, viz.
the class of cyathiscomeles--for these had a scoop at one end--and this
being specially intended for wounds most likely had a certain amount of
olivary enlargement at its tip, but smaller than the olive of a
cyathiscomele, which was too large for ordinary wounds. The typical ear
specilla and the typical cyathiscomeles both form well defined groups, but
between these innumerable gradations occur among the specimens extant. For
practical purposes it is convenient to class all these intermediate forms
as _specilla vulneraria_.
_Handled Needles._
In the find of the oculist Severus were no less than nine handles for
needles. Of these, six were merely cylinders of bronze, expanded slightly
at one end and perforated at the other with a small hole for a needle.
They were from 72 to 40 mm. long and 7 to 5 mm. in diameter. Two were
hexagonal, four were round (Pl. XXI, figs. 2, 4, Pl. XVI, figs. 3, 4, 5,
6). Two others had the same holes for needles at one end, but at the other
they were pierced with a slot, 10 mm. deep, for the insertion of a knife
blade. One was 60 x 7 mm., the other 53 x 5 mm. (Pl. II, figs. 1, 2).
Another, perforated at one end as before, carried at the other an
olive-pointed probe. It was 8 cm. in length, and of this 3·5 cm. consisted
of a hexagonal handle 3·5 cm. in diameter. The remainder was cylindrical,
and it terminated in a probe point with a slight olivary enlargement (Pl.
XVI, fig. 2). In all cases the needles had evidently been made of steel
and had entirely disappeared.
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