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
The writing stylus, then, from the fact of its being at hand and of
suitable shape was occasionally, perhaps often, used as a surgical
instrument.
I give a figure of a stylus in silver, beautifully oxidized, which was
found at York while making excavations there in constructing the railway
(Pl. XVII, fig. 3).
Pl. XVII, fig. 6 shows an instrument which is figured by Vulpes (op. cit.)
as a specillum. Personally, I think its highly ornamented form shows that
it is rather a domestic article, but, as no information is available as to
the surroundings among which it was found, we can only say that its shape
fits it equally well either for writing or minor surgical manipulations.
_Grooved Director._
Although we have no actual description of a grooved director, we have many
manipulations described in which such an instrument would be used
nowadays. For example, in describing the treatment of fistulae Celsus
says:
In has demisso specillo ad ultimum eius caput incidi cutis debet (VII.
iv).
'A director being inserted into them down to their termination the
skin ought to be incised.'
It is interesting to find that we have at least one grooved director
extant to prove that this instrument was known to the Romans. It is in the
Section of Surgical Antiquities of the Musée de Cinquantenaire, Brussels,
and it was discovered, along with several other surgical instruments, in a
surgeon's case of the usual cylindrical form.
It is 15 cm. long, 2 mm. in diameter. A deep groove runs for 6 cm. from
one end. The other end terminates in a small button. It is of silver, as
also were the other contents of the case. It is possible that grooved
specilla may have been in quite common use, but may have been made of wood
or tin, and have therefore not survived; because we learn from Galen's
Manual of Dissection that probes which were used as directors in
dissecting work were generally of wood, such as boxwood, so that they
might not chip the scalpel (ii. 711).
_Surgical Needle (three cornered)._
Before discussing the eyed probes it will be well to clear the way by
disposing of the needles, and of these, as the most easily defined class,
it will be best to take the surgical needles first. We have innumerable
references to the surgical needle though we have no actual description of
it. There must have been many different sizes of it, for the manipulations
vary greatly in magnitude. I shall content myself with giving two
quotations describing respectively one of the largest and one of the
smallest of these. Both passages are from Celsus. He thus describes the
operation of suturing the abdominal parietes:
Public-domain text, read in full here on John Shaqi.
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