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
'Those things which evacuate the head we use in the following manner.
A reed slender and with a straight bore, six inches in length, and of
such a size that it can be placed in the nares, is taken and its
cavity entirely filled with medicament. The reed may be either natural
or of bronze. This being placed in the nares, we propel the medicament
by blowing into the other end.'
Alexander Trallianus (IV. viii) describes the insufflation of the woolly
hairs of the platanus to stop epistaxis, and Aretaeus mentions the
insufflation of sternutatories (459, vol. ii), and again (408, vol. ii) he
says medicines may be blown into the pharynx by a reed, or quill, or wide
long tube (καλάμῳ ἢ πτίλῳ ἢ καυλῷ παχεῖ καὶ ἐπιμήκει).
A fine example of a bronze insufflator was discovered among the
instruments of the surgeon of Paris. It is 15-1/2 cm. in length, and 5 mm.
in diameter. It is formed by a plate of bronze bent round and soldered. It
terminates in a little elliptical shovel slightly cup-shaped, of which the
transverse diameter is 3 cm. and the longitudinal 3 mm.; it had originally
been overlaid with gold (Pl. XL, fig. 4).
_Cannulae for draining Ascites and Empyema._
Celsus describes the cannula for draining ascites (VII. xv):
Ferramentum autem demittitur magna cura habita ne qua vena incidatur.
Id tale esse debet ut fere tertiam digiti partem latitudo mucronis
impleat; demittendumque ita est ut membranam quoque transeat qua caro
ab interiore parte finitur; eo tum plumbea aut aenea fistula
coniicienda est vel recurvatis in exteriorem partem labris vel in
media circumsurgente quadam mora, ne tota intus delabi possit. Huius
ea pars quae intra paulo longior esse debet quam quae extra, ut ultra
interiorem membranam procedat. Per hanc effundendus humor est; atque
ubi maior pars eius evocata est claudenda demisso linteolo fistula
est; et in vulnere si id ustum non est relinquenda. Deinde per
insequentes dies circa singulas heminas emittendum, donec nullum aquae
vestigium appareat.
The following passage from Paul shows that the tip was bevelled off like a
writing pen:
Χαλκοῦν καλαμίσκον ... καθίσομεν ἔχοντα τὴν ἐκτομὴν παραπλησίαν τοῖς
γραφικοῖς καλάμοις.
'We introduce through the incision in the abdomen and peritoneum, a
bronze cannula having a tip like that of a writing pen' (VL. l).
Two instruments answering to the above description are to be seen in the
museum on the Capitol at Rome.
Another, answering more closely to the description of Celsus, is to be
seen at Naples (Pl. XXXIX, fig. 2). It consists of a bronze tube, 9 cm. in
length, 7 mm. wide at one end, narrowing to 4 mm. at the other end, which
is bevelled off as described by Paul. Surrounding the tube and 2·5 cm.
from the bevelled tip is a ring 2·5 cm. in diameter.
Public-domain text, read in full here on John Shaqi.
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