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Updated: May 25, 2025


This is the only example we have of an operation executed with a view to curing a disease that can actually be seen, and it enables us to conclude that these men, of whom we know so little, had some notion of surgery. Were trepanations also practised to cure epilepsy or to heal mental affections?

The operator then gave a history of over 178 trepanations after the Elliot method and compares them with the procedure of Lagrange. He concludes that the Elliot trephining operation is less dangerous, is more likely to be followed by the development of a cystic scar, and leads to loss of the eye in only 2.4 per cent of the eyes operated on.

The long continuance of such a practice is a very interesting fact, and we may mention a yet more curious one. How are we to explain trepanations that had no apparent motive on crania showing no symptoms of disease? How account for the repetition at different tunes of this operation, first on the living subject and then on the corpse, as at St.

Quite recently were discovered, beneath a tumulus near Rock River, eight skeletons, the skull of one of which bore a circular perforation made during life, which rather upsets Gillman's theory. But to resume our narrative. The trepanations reported from North America are generally posthumous, and we can prove nothing as to their origin. Were they marks of honor made in some religious rite?

When trepanning was the fashion there is no doubt that the operation was performed in many different ways. Posthumous trepanations were accomplished with the aid of a flint implement used as a chisel or a saw. There was greater difficulty about an operation on a living subject.

A Russian skull, a cast of which has recently been presented to the Italian Anthropological Society, bears traces of two trepanations; one performed during life, the other after death. The former had evidently been caused neither by illness nor by a wound.

A number of crania and parts of crania on which trepanation had been performed have also been taken from several mounds on Chamber's Island, from beneath the mound in the neighborhood of the Sable River, near Lake Huron, and near the Red River Gillman thinks that the Michigan trepanations, which bad been made with clumsy tools, were simply holes for hanging up skulls as trophies, as is still customary amongst the Dyaks of Borneo; but this seems scarcely a tenable hypothesis, for as a rule the skeletons lying in their last home are complete.

General Faidherbe discovered at Roknia, in Algeria, two trepanned skulls, dating from a remote antiquity, in one of which the wound is half an inch in diameter, and shows no sign of cicatrization; and travellers speak of evident traces of similar operations on skulls dating from the time of the Ainos;, the ancestors or predecessors of the Japanese at the present day; and if we cross the Atlantic, we shall meet with instances of trepanations executed in a similar manner, and probably for similar reasons.

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