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
we, having completely cleared the posterior process, ascertain by the
fingers whether a fold of intestine be comprehended in the tunica
vaginalis, and if so we must press it down to the belly; then we take
a large-sized needle containing a doubled thread of ten pieces, and we
pass it through the middle at the extremity of the peritoneum close to
the incision; and cutting the double we make four pieces of them, and
laying them over one another in the form of the Greek letter Χ, we bind
the peritoneum securely, and again twisting round the pieces we secure it
so that none of the nutrient vessels may have a free passage to it lest
any inflammation be occasioned, and we apply another ligature farther
out, less than two fingers’ breadth distant from the former. After making
these ligatures we leave about the size of a finger of the peritoneum,
and cut off the whole all round, removing at the same time the testicle,
then making an incision at the lower part of the scrotum to favour the
discharge, we introduce an oblong pledget, and apply embrocations of oil
and bandages as for hydrocele. We must also make the other applications
as there laid down. I have known some not unskilful surgeons who after
the incision into the tunica vaginalis burnt the extremity of it with
heated cauteries for fear of hemorrhage, as would appear. These after
the operation straightway bathed their patients in a long wooden trough
containing hot water, until the seventh day, repeating this as often
as five times during the period of a day and a night, more especially
with children; and it succeeded wonderfully, for they remained free from
inflammation, and the ligatures fell out speedily along with the parts.
In the intervals between the bathings the afore-mentioned embrocations
were applied. Another surgeon, in addition to the means already
mentioned, rubbed into their back at the time pepper triturated with oil.
* * * * *
Public-domain text, read in full here on John Shaqi.
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