On the Surgery
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On the Surgery.
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On the Surgery
Written 400 B.C.E
Translated by Francis Adams
The following are the object which the upper bandage, the under bandage,
or both aim at: The object of the under bandage is either to bring together
parts that are separated, or to compress such as are expanded, or to separate
what are contracted, or to restore to shape what are distorted, or the
contrary. It is necessary to prepare pieces of linen cloth, which are light,
thin, soft, clean, having no seams nor protuberances on them, but sound,
and able to bear some stretching, or even a little more than required;
not dry, but wetted with a juice suitable to the purpose required. We must
deal with parts separated (in a sinus?) in such wise, that the parts which
are raised may touch the bottom without producing pressure; we must begin
on the sound part, and terminate at the wound; so that whatever humor is
in it may be expelled, and that it may be prevented from collecting more.
And straight parts are to be bandaged in a straight direction, and oblique
obliquely, in such a position as to create no pain; and so that there may
be no constriction nor falling off on a change of position, either for
the purpose of taking hold of anything, or laying the limb; and that muscles,
veins, nerves, and bones may be properly placed and adjusted to one another.
It should be raised or laid in a natural position, so as not to occasion
pain. In those cases in which an abscess is formed, we must act in a contrary
way. When our object is to bring together parts which have become expanded,
in other respects we must proceed on the same plain; and we must commence
the bringing together from some considerable distance; and after their
approach, we must apply compression, at first slight, and afterwards stronger,
the limit of it being the actual contact of the parts. In order to separate
parts which are drawn together, when attended with inflammation, we must
proceed on the opposite plan; but when without inflammation, we must use
the same preparations, but bandage in the opposite direction. In order
to rectify distorted parts, we must proceed otherwise on the same principles;
but the parts which are separated must be brought together by an underbandage,
by agglutinants, and by suspending it (the limb?) in its natural position.
And when the deformities are the contrary, this is to be done on the contrary