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
Now for suturing tissues, and more especially tissues of such toughness
and thickness as the abdominal parietes, a round needle is absolutely of
no use. A surgical needle not only requires to have cutting edges, as our
three-cornered needles have, but these edges need to be in good condition
to work well. Three-cornered surgical needles were in use from very early
times. They are fully described in the Vedas of the Hindoos (Wise, _Hindoo
System of Medicine_, p. 171). A few three-cornered needles of Roman origin
have been found, although they are rare. Those which exist are of bronze.
Probably the majority were of steel, and of these none have survived. I
give a photograph of a three-cornered needle from my collection (Pl. XVII,
fig. 4). It is imperfect at the point. It measures 7·2 cm. in length, and
the sides are each 2 mm. in breadth. It is important to emphasize the fact
that only needles with cutting edges are to be looked on as surgical,
because it is not unusual to find needles, which are round and of large
calibre, described as surgical, although they are quite unfitted for
surgical work. Such is the one figured by Vulpes (op. cit.).
Needles of this kind are sometimes found, as this one was, among surgical
instruments. But they are not surgical needles in the sense that they are
intended for suturing tissues. They are for fixing bandages. I shall
describe them in the next section.
_Round Needles and Bodkins._
Hippocrates tells us that bandages for fixing dressings and splints on a
fractured limb ought to be finished off by stitching with a thread (iii.
55), and Celsus repeats the advice:
Hieme saepius fascia circumire debet: aestate quoties necesse est.
Tum extrema pars eius inferioribus acu assuenda est; nam nodus vulnus
laedit, nisi tamen longe est (V. xxvi).
The round sewing needle was therefore part of the recognized outfit of the
surgeon, and numbers have been found associated with surgical instruments.
Apart from this association with other instruments it is quite impossible
to distinguish them from domestic needles. The same may be said of
bodkins, as these too occur in surgical finds, and are also quite
indistinguishable from the domestic articles for embroidering. Pl. XVII,
fig. 2 shows a bronze needle from Roman London. A similar one from
Pompeii, now in the Naples Museum, is given by Vulpes as a surgical
needle, owing to the fact that it was found along with surgical
instruments; but it is evident that it is only a needle for sewing
bandages, &c.
Other types of needles and bodkins are found in bronze, but many also are
of bone and ivory. Even the latter are quite serviceable, and in spite of
their being comparatively thick will stitch compact cloth easily. An ivory
needle from Roman London is shown in Pl. XVII, fig. 5.
_Eyed Probes._
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