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
We have now to consider an interesting variation produced by extending the
extremity of the blade to one side so as to increase the width of the
blade (coudée type). This is a rare type.
Pl. XXIX, fig. 1 represents one of two from the find of the surgeon of
Paris. It is 17 cm. long, and the legs of the forceps are 8 mm. wide. The
jaws debouch to one side at an obtuse angle for a distance of 2 cm. and
end in a fairly sharp point. The jaw is thus increased to 2 cm. in
breadth. They are finely toothed. They are concave internally and convex
externally. The other forceps was 14·5 cm. long and 8 mm. wide. The Museum
at Naples has a forceps of this type, but having a sliding ring to fix the
jaws after they have been applied (Pl. XXIX, fig. 4).
This angled type of forceps may be the one referred to by Paul in his
description of the plastic operation on the eyelid for trichiasis (VI.
viii), when he directs us to raise the redundant skin of the lid with a
fixation forceps and cut it off with a scalpel (βλεφαροκατόχῳ μυδίῳ, τοῦτ'
ἔστι πρὸς τὴν περιφέρειαν τοῦ βλεφάρου ἐσχατισμένῳ ἀνατείναντες τὸ
περιττὸν δέρμα, σμιλίῳ ἀποκόπτουσι). It may be noted that this coudée type
of forceps has considerable affinity with the type of forceps presently to
be described for strangling haemorrhoids and the relaxed uvula, the only
essential difference being that the blades are not crossed here.
_Uvula Forceps._
Greek, σταφυλάγρα.
In Aetius (II. iv. 12) we have an interesting description of the
amputation of the uvula by first crushing it in a forceps so as to prevent
haemorrhage and then cutting it off:
'Then inserting a vulsellum and making traction on it, the uvula
crusher (τὴν σταφυλάγραν) is fitted on about the middle of the uvula
or a little below it, and then it is pulled and twisted (by the
vulsellum). By the torsion it becomes lifeless and, as it were, snared
off; it curls up, becomes livid and comes off without much effusion of
blood. Wherefore it is well to wait some time and hold it till the
patient can stand it no longer, and then cut it off--the cut being
made close to the vulsellum but nearer the tip than to it.'
The σταφυλάγρα therefore corresponds in its action to a pile-crusher. This
instrument I believe to be represented by the type of forceps shown in Pl.
XXX, fig. 1. It is in the British Museum. The two branches of the forceps
cross like scissor blades, and at their ends the jaws are formed in such a
way as to project forwards and enclose a cavity 1 cm. deep and 18 mm.
long. Over all the forceps is 18 cm. long. The jaws are finely toothed.
There is in the same museum another instrument similar in all respects
except that it is 1 cm. shorter, and that in each blade, which is 16 mm.
long (Pl. XXX, fig. 2), there is a small hole near the proximal end. A
posterior view of a similar instrument is seen in Pl. XXXI, fig. 1. It is
from the find of the surgeon of Paris. A similar specimen is in the Mainz
Museum.
Public-domain text, read in full here on John Shaqi.
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