A history of surgery: with emphasis on the Netherlands by D. de Moulin

By D. de Moulin

Surgery as a scientific self-discipline has from its beginnings appealed to the mind's eye of many. it truly is accordingly no longer extraordinary to discover that its vibrant prior has triggered a variety of authors to take in their pens. the reality of this within the Netherlands is witnessed by way of a couple of dissertations and monographs and particularly by way of the various articles concerning the historical past of surgical procedure that have seemed within the scientific weekly Nederlands Tijdschrift voor Geneeskunde, fairly in the course of the 20 years previous the second one global battle. The memorial quantity, released in 1977 by means of the 'Nederlandse Vereniging voor Heelkunde' (Association of Surgeons of the Netherlands) has completely lined the historical past of Dutch surgical procedure because the tum of the century, yet a chronological survey of the sooner occasions which resulted in those modem achievements continues to be in need of. This ebook has been written which will assembly this want. In it, Dutch surgical procedure has not at all been taken as an remoted phenomenon, yet thought of in its context with eu surgical procedure as a complete. overseas affects at the on surgical procedure overseas are mentioned Netherlands and, conversely, Dutch impacts while modern clinical pondering is determined opposed to a cultural and political again­ flooring. it truly is was hoping that this technique will enable the booklet to exceed the slender obstacles of'campanilismo' and make it of curiosity to non-Dutch readers as well.

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But it is evident, however, that the testis and the blood vessels are spared, and in this respect the method described by Celsus compares favourably with the operative treatment of Paul and of the Middle Ages, which involved a hemicastration. In the case of penetrating abdominal injuries a perforation of the large intestine may be closed by suture. 41 This should be done as soon as possible, because the intestines are unaccustomed to exposure to outside air. There is no need to take much trouble over the small intestine, since its suture always proves to be unsuccessful.

After the bone is sawn througb and the cutting-plane smoothed down, the soft parts are folded over the stump of the bone and arranged to cover it as far as possible. What cannot be covered with skin, is filled up with lint wetted in vinegar. ~! ligature and skin sutures are not mentioned by Celsus in this context. The use of the saw and the amputation through healthy tissue is, however, an advance on the technique current in the days of Hippocrates. The eighth and last book deals with fractures and dislocations, and is clearly inspired by the Hippocratic texts on these subjects.

Painful and inflamed wounds are best treated with anti-inflammatory remedies like wine and oxycrate, and with diluted hydromel - honeyed water - in the case of foul inflammation. When comparing Paul's surgery to the surgery practised at the time of Celsus and Galen, at first sight little advancement seems to have been made during the intervening centuries. It needs a closer look to ascertain, that any advances have indeed been made at all. They bear mostly on refinements of surgical techniques and such details.

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