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
Hooks blunt and sharp are frequently mentioned in both Greek and Latin
literature, and served the same purposes as we use them for; the blunt for
dissecting and raising blood-vessels like the modern aneurism needle, the
sharp for seizing and raising small pieces of tissue for excision, and for
fixing and retracting the edges of wounds. We are fortunate also in
possessing many fine specimens of both sharp and blunt hooks in museums,
&c. In the Naples Museum alone there are upwards of forty examples of
hooks. Of pterygium Celsus says:
Tum idem medicus hamulum acutum, paulum mucrone intus recurvato,
subiicere extremo ungui debet eumque infigere; atque eam quoque
palpebram tradere alteri; ipse, hamulo apprehenso, levare unguem
eumque acu traiicere linum trahente (VII. vii).
Aetius also mentions this use of the sharp hook:
'And, transfixing the pterygium with a hook (καὶ ἀγκίστρῳ
καταπείροντες περὶ τὰ μέσα τὸ πτερύγιον), we gently make traction on
it' (_Tet._ II. iii. 60).
Paul also says:
'Seizing the pterygium with a hook with a small curve, (ἀγκίστρῳ
μικροκαμπεῖ ἀναδειξάμενοι) we stretch it' (VI. xviii).
The method of excision of the tonsil described by Celsus, Aetius, and Paul
is to bring the tonsil into view by dragging on it with a sharp hook and
then amputating it. Thus Paul says:
'Wherefore seating the person in the light of the sun, and, directing
him to open his mouth, while one assistant holds his head and another
presses down the tongue to the lower jaw with a tongue depressor we
take a hook (ἄγκιστρον) and transfix the tonsil with it and draw it
outwards as much as we can without drawing the capsule along with it,
and then we cut it out by the root with the tonsil knife suited to
that hand' (VI. xxx).
In contraction of the vulva, Paul says:
'Having transfixed the connecting body, whether flesh or membrane,
with hooks, we stretch it and divide it with the fistula knife' (VI.
lxxii).
Similarly Celsus (VII. xxviii) says:
At si caro increvit, necessaria est recta linea patefacere; tum ab
ora, vel vulsella vel hamo apprehensa, tamquam habenulam excidere.
In dissection, many of the manipulations which we perform with the
dissecting forceps were performed by the ancients with sharp hooks. Pl.
XXIV, figs. 1-5 represent specimens from various sources; some simple,
others combined with another implement.
_Blunt Hooks._
Greek, τυφλάγκιστρον; Latin, _hamus retusus_.
Aetius (_Tet._ III. i. 13) says:
'Whatever adhesions there are of the lower border of the lids to the
tunics of the eye, we must put them on the stretch with a blunt hook
(τυφλαγκίστρῳ) and with a pterygotome free the adhesion.'
Public-domain text, read in full here on John Shaqi.
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