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Updated: May 6, 2025
The first step in this treatment is that a canula of silver or tin should be inserted through the mouth and pushed down the throat till its head meets an obstruction, always being withdrawn when there is a vomiting movement, until it becomes engaged in the stricture. Then freshly milked milk, or gruel made from farina or barley, should be poured through it.
Modern abdominal surgeons will probably be interested in reading Gilbert's chapter on the treatment of wounds of the intestines in the thirteenth century. This tube or canula should be so placed as to readily transmit the contents of the intestine, and yet form no impediment to the stitches of the wound.
The inflammation over that part of the sinus to the right of the spine is still about the same as yesterday; also that over the left ilium. The fluid has increased during the last twenty-four hours so that there is now nearly as much as was drawn off through the canula yesterday.
He advises the use of bird lime on the end of a sound to which objects will cling, or, where they are smaller, suction through a silver or copper canula. Hooks and pincettes are also suggested. Insects should be removed with a hook, or with a canula, or, having been killed by warm oil, removed by means of a syringe.
His description of the technique of the use of a catheter and of a stylet with it, and apparently also of a guide for it in difficult cases, is extremely interesting. He suggests the opening of the bladder in the median line, midway between the scrotum and the anus, and the placing of a canula therein, so as to permit drainage until healing occurs.
The left median basilic vein was exposed by an incision, and 20 ounces of warm saline solution were slowly perfused, an ordinary glass syringe with a capacity of five ounces, with an India-rubber tubing attached to a canula in the vein being employed. The clamped vessels were now tied with catgut and the wound cleansed with phenol lotion and dressed with cyanid-gauze.
An instrument called beluleum was invented during the long Peloponnesian War, over four hundred years before the Christian era. It was a rude extracting-forceps, and was used by Hippocrates in the many campaigns in which he served. His immediate successor, Diocles, invented a complicated instrument for extracting foreign bodies, called graphiscos, which consisted of a canula with hooks.
He secured a vein and pushed the cut end over this little canula. Then he fitted the artery of Cushing over that and the blood that was, perhaps, to save his life began flowing into his depleted veins. "Who was this madman? I have watched the actions of those whom I suspected when they did not know they were being watched.
Apparently Gilbert feels some compunctions of conscience relative to the ultimate disposition of the canula of alder-wood, and permits, if he does not advise, its removal from the intestine before the tightening of the last stitches. Roland adds nothing to the text of Roger. Mix together in a brazen vessel and place this in the sun during the dog-days.
Between the Destroying Angel and his gasping prey, stepped two, anointed with the chrism of the Priesthood of Cure; and undismayed by the strident, sibilant, fitful breath that distorted the blue lips of the victim, they parried the sweep of the scythe of death, with the tiny, glittering steel blade surgery cunningly fashions; and through its silver canula, tracheotomy recalled the vanishing spirit, triumphantly renewed the lease of life.
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