The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgeryPaulus, Aegineta
History
The seven books of Paulus Ægineta, volume 2 (of 3) : $b translated from the Greek: with a commentary embracing a complete view of the knowledge possessed by the Greeks, Romans, and Arabians on all subjects connected with medicine and surgery
Paulus, Aegineta
Medicine; Medicine, Arab; Medicine, Greek and Roman
How wounds of the peritoneum are to be treated is next to be considered.
If then the wound be small, so that the prolapsed intestine being
distended with air, cannot be restored to its place, it will be necessary
either to evacuate the flatus or enlarge the wound. The former measure
is the better, provided one can accomplish it. But how may this be most
probably done? By removing the cause which occasions the inflation of
the intestine. But what is this? Congelation of the surrounding air; so
that the cure is to be performed by heating. Wherefore, having soaked a
soft sponge in hot water, and then squeezed it out, foment the intestine
therewith. In the meantime let hot austere wine be prepared, for it is
more heating than water, and communicates strength to the intestine.
If, after having had recourse to all these things, the intestine remain
inflated, we must divide as much of the peritoneum as the prolapsed
intestine requires. The straight instruments called syringotoma, used for
operating upon fistulæ, are very proper for this incision. A recumbent
position of the patient is the best when the wound is in the lower part;
and when in the right side, he may lie on the left, and when in the left,
on the right; and this is common both to great and small wounds. But the
replacement of the intestine into its proper place when the wound is
large, requires a skilful assistant. For he must take hold of the wound
externally with his hands, and contract and compress it a little, so as
to expose always a small portion to the sewer, and also must compress
moderately what is sewed until the whole is sewed. What is the most
proper mode of performing the operation called gastroraphé, we must next
explain. Since the abdomen must be united with the peritoneum, we have
to begin by passing a needle through the skin from without inwards; but
when it has transfixed the skin and the whole rectus muscle, passing by
the adjacent peritoneum, we must push the needle from within through
the other part of the peritoneum, and so hence from within outwards,
through the rest of the abdomen; and when it has passed out we must push
the needle again from without inwards through this part of the abdomen,
and, passing by the adjacent portion of the peritoneum, and beginning
again from the opposite side of this membrane, perforate it from within
outwards, and at the same time all the other parts of the abdomen;
then beginning again from this, sew it with the opposite membrane, and
afterwards transmit it from the neighbouring skin outwards; and do
this repeatedly until the whole wound be sewed up. The space between
the sutures required to keep the under parts together must be very
small, but the interval between those required to keep the skin from
falling asunder need not be so small. Excess in either respects must be
avoided, and a medium chosen between the two extremes. And a medium is
likewise to be observed as to the consistence of the thread, for that
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account