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
In his chapter on Angiology (or Division of the Temporal Blood Vessels)
for headache and ophthalmia (VI. v), Paul mentions the use of dissectors:
'Having therefore first shaven the hairs of the temples we make an
examination by palpation, applying warm fomentations or even a fillet
round the neck, and mapping out the vessels with ink as they become
apparent, we stretch the skin to either side with the fingers of our
own left hand and those of an assistant, and make a superficial
incision along the vessel. Then cutting down and retracting with hooks
and exposing the vessel with dissectors (δι' ἐξυμενιστήρων) we must
raise it up completely isolated. If it be small, having stretched it
and applied torsion we may divide it through in such a way as to
remove a piece of it at one stroke.'
The typical scalpel handle ends in a leaf-shaped dissector, and Celsus
always describes blunt dissection as being performed with the manubriolus
of the scalpel. We have, however, a few dissecting manubrioli as separate
instruments not designed to carry scalpel blades. Three were found
together in the grave of the surgeon of Paris. There are also two in the
museum of St-Germain-en-Laye, and one in the Museum at Mainz. We may take
as types two from the find of the oculist Severus in the
St-Germain-en-Laye Museum (Pl. XX, figs. 3, 4). They consist of elongated
leaf-shaped blades carried on hexagonal handles, and are exactly similar
in appearance to a scalpel handle, except that they do not carry a slot
for the insertion of a blade.
_Curved Dissectors._
Greek, ὑδροκηλικὸν κοπάριον.
On the cure of hydrocele Paul (VI. lxii) says:
'When the fluid is in the tunica vaginalis we make the incision where
the apex of the tunica makes its appearance, and, separating the lips
of the incision with a hook, and having dissected off the fascia with
the hydrocele specillum and the scalpel (ἐξυμενίσαντες τῷ τε
ὑδροκηλικῷ κοπάριω καὶ τῷ σμιλίῳ), we divide it through the middle
with a lancet.'
Treating of the excision of varices (VI. lxxxii) he says:
'Having separated the lips of the wound with hooks, and dissected away
the fascia with curved hydrocele specilla, and laid bare the vein and
freed it all round' (ὑδροκηλικοῖς ἐπικαμπέσι κοπαρίοις).
A curved dissector from the find of the oculist Severus, now in the Museum
of St-Germain-en-Laye, has a neatly ornamented handle with a small hook at
one end, and at the other it curves first backward and then forward to
join a small leaf-shaped dissector 3 cm. long and 1 cm. in its greatest
breadth (Pl. XXIII, fig. 2).
_Sharp Hooks._
Greek, ἄγκιστρον, ἀγκυρομήλη; Latin, _hamus_, _hamulus acutus_.
Public-domain text, read in full here on John Shaqi.
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