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By D. de Moulin

Surgery as a scientific self-discipline has from its beginnings appealed to the mind's eye of many. it really is hence no longer brilliant to discover that its vibrant previous has prompted various authors to take in their pens. the reality of this within the Netherlands is witnessed by means of a couple of dissertations and monographs and particularly by means of the varied articles concerning the background of surgical procedure that have seemed within the clinical weekly Nederlands Tijdschrift voor Geneeskunde, fairly throughout the twenty years previous the second one global warfare. The memorial quantity, released in 1977 by way of the 'Nederlandse Vereniging voor Heelkunde' (Association of Surgeons of the Netherlands) has completely lined the background of Dutch surgical procedure because the tum of the century, yet a chronological survey of the sooner occasions which ended in those modem achievements remains to be in need of. This e-book has been written so one can assembly this desire. In it, Dutch surgical procedure has not at all been taken as an remoted phenomenon, yet thought of in its context with ecu surgical procedure as a complete. overseas impacts at the on surgical procedure in a foreign country are mentioned Netherlands and, conversely, Dutch affects while modern clinical pondering is determined opposed to a cultural and political again­ flooring. it's was hoping that this strategy will let the publication to exceed the slender obstacles of'campanilismo' and make it of curiosity to non-Dutch readers as well.

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He is first quoted on several occasions by the French surgeon Guy de Chauliac, which leads one to assume that a Latin translation must have been available in the fourteenth century. In the sixteenth century his work made its first appearance in print, in two different Latin editions published rapidly one after the other, besides two editions in Greek, and book VI, which is particularly important for us, in a separate French issue. By that time Paul had become a 21 widely read author in the West.

The importance of extraction of missiles is illustrated by Paul with a well-known quotation from Homer: F or a leech is of the worth of many other men For the cutting out of arrows and the spreading of soothing simples. 58 If the weapon is lodged in an important part of the body and fatal symptoms have already manifested themselves, the surgeon had better abstain from treatment, for not only can he do no good, he can but expose himseif tv the scorn of ignorant people. But if the patient's fate is in doubt he must make an attempt, having first given fair warning of the danger.

42 One of the most interesting parts of book seven is the clear description of lithotomy. Cutting for the stone had apparently been admitted to regular sugery in the course of the four hundred years which lapsed after Hippocrates had dissociated himself so emphatically from this procedure. The operation consists of the surgeon inserting his left index and middle fingers into the rectum of the patient, who lies on his back with his legs drawn up high, held down by a few strong men. While the right hand is placed on the hypogastrium to prevent the stone from slipping back to the fundus, the fingers of the left hand bring the stone down to the neck of the bladder, where it is fixed.

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