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
* * * * *
COMMENTARY. The description of gastroraphé here given will be
sufficiently intelligible upon an attentive perusal. It is taken from
Galen. (Meth. Med. vi, 4.) By abdomen, in this place, is to be understood
the abdominal parietes, namely, the skin and muscles. Galen explains that
ἐπιγάστριον is used in this sense.
Celsus gives a long description of a somewhat different method of
performing gastroraphé. He uses two needles. (vii, 16.)
Several modes of performing the operation are minutely described by
Albucasis. He relates the history of a case in which he practised
gastroraphé. (ii, 87.)
Haly Abbas recommends the warm bath, to facilitate reduction. The method
of performing gastroraphé which he directs, is similar to the suture now
practised upon dead bodies after dissections. (Pract. ix, 43.)
Rhases describes various modes of gastroraphé. He speaks of performing
the operation with the string of a harp. (Cont. xxviii.) That the strings
of the ancient harp were made of the guts of a sheep is clearly proved
from the following passage in the Odyssey of Homer:
ὡς ὁτ’ ἀνὴρ φορμίγγος ἐπιστάμενος καὶ ἀοιδῆς
ρηϊδίως ἐτάνυσσε νέῳ ἐπὶ κόλλοπι χορδὴν,
ἄψας ἀμφοτέρωθεν ἐυστρεφὲς ἔντερον οἶὸς.
Οδυσ. φ.
The modes of gastroraphé described by Galen and Celsus are explained
and commented upon by Van Swieten (Comment. cccxi), and by Fabricius ab
Aquapendente. (Œuv. Chir. ii, 53.) A complete history of the operation is
given by Sprengel. (Hist. de la Méd. xviii, 21.) Ambrose Paré performed
the operation exactly like Galen.
SECT. LIII.—ON DEFICIENCY OF THE PREPUCE.
When there is a small deficiency in the skin of the penis, some, in order
to repair the deformity, have attempted a double surgical operation;
sometimes cutting the skin all round above at the commencement of the
penis, in order that by this solution of continuity the skin may be drawn
downwards until the glans (as it is called) be covered; and sometimes
with a scalpel dissecting its inner surface from the root of the glans,
and then drawing it downwards, and surrounding the glans with a soft
ligature; but a piece of cloth must be interposed at the incision, in
order to prevent an adhesion of the prepuce to the glans. Antyllus
approves most of this method, of which he gives a full description, but
we have been content with a brief outline, because it is rare that this
surgical operation is required, as the complaint neither occasions any
defect of the functional office, nor such deformity that one would choose
to submit to the hazard of an operation on account of it.
* * * * *
Public-domain text, read in full here on John Shaqi.
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