FREE BOOKS

Author's List




PREV.   NEXT  
|<   193   194   195   196   197   198   199   200   201   202   203   204   205   206   207   208   209   210   211   212   213   214   215   216   217  
218   219   220   221   222   223   224   225   226   227   228   229   230   231   232   233   234   235   236   237   238   239   240   241   242   >>   >|  
the great windows over the altars were filled with colored glass. Altogether it was one of the best examples of the best period of Gothic Architecture."[24] The fine hospital thus described was but one of many. Virchow, in his article on hospitals quoted in the same chapter, called attention to the fact that in the thirteenth and fourteenth centuries every town of five thousand or more inhabitants had its hospital, founded on the model of the great Santo Spirito Hospital in Rome, and all of them did good work. The surgeons of Guy de Chauliac's time would indeed find hospitals wherever they might be called in consultation, even in small towns. They were more numerous in proportion to population than our own and, as a rule, at least as well organized as ours were until the last few years. It is no wonder that with such a good hospital organization excellent surgery was accomplished. Hernia was Chauliac's specialty, and in it his surgical judgment is admirable. Mondeville before his time did not hesitate to say that many operations for hernia were done not for the benefit of the patient, but for the benefit of the surgeon,--a very striking anticipation of remarks that one sometimes hears even at the present time. Chauliac discussed operations for hernia very conservatively. His rule was that a truss should be worn, and no operation attempted unless the patient's life was endangered by the hernia. It is to him that we owe the invention of a well-developed method of taxis, or manipulation of a hernia, to bring about its reduction, which was in use until the end of the nineteenth century. He suggested that trusses could not be made according to rule, but must be adapted to each individual case. He invented several forms of truss himself, and in general it may be said that his manipulative skill and his power to apply his mechanical principles to his work are the most characteristic of his qualities. This is particularly noteworthy in his chapters on fractures and dislocations, in which he suggests various methods of reduction and realizes very practically the mechanical difficulties that were to be encountered in the correction of the deformities due to these pathological conditions. In a word, we have a picture of the skilled surgeon of the modern time in this treatise of a fourteenth-century teacher of surgery. Chauliac discusses six different operations for the radical cure of hernia. As Gurlt points
PREV.   NEXT  
|<   193   194   195   196   197   198   199   200   201   202   203   204   205   206   207   208   209   210   211   212   213   214   215   216   217  
218   219   220   221   222   223   224   225   226   227   228   229   230   231   232   233   234   235   236   237   238   239   240   241   242   >>   >|  



Top keywords:
hernia
 
Chauliac
 
operations
 
hospital
 
reduction
 
fourteenth
 

century

 

surgery

 

surgeon

 
benefit

patient
 

hospitals

 

mechanical

 
called
 

individual

 

adapted

 
invention
 

attempted

 
developed
 

endangered


method

 

operation

 

nineteenth

 

suggested

 

invented

 

manipulation

 
trusses
 

conditions

 

picture

 

pathological


encountered

 

difficulties

 

correction

 
deformities
 

skilled

 

modern

 
radical
 
points
 

treatise

 
teacher

discusses
 

practically

 

realizes

 

principles

 

manipulative

 

general

 

characteristic

 

dislocations

 
suggests
 

methods