ers suggests certain interesting
chronological data. It will be observed that Roger, in the passage
quoted above, recommends a dressing of egg-albumen for wounds of the
neck, and expresses considerable doubt whether nerves, when totally
divided, can be regenerated (_consolidari_), though they may
undoubtedly be reunited (_conglutinari_).
Now Roland, in his edition of Roger's "Chirurgia," criticises both of
these statements of his master, as follows:
_Nota quod quamvis Rogerius dicat quod apponatur albumen ovi, non
approbo, quia frigidum est naturaliter, et vena et nervus et arteria
frigida sunt naturaliter, et propter frigiditatem utrorumque non
potest perfecte fieri consolidatio._
And again:
_Nota quod secundum Rogerium nervus omnino incisus non potest
consolidari, vel conjungi nec sui. Nos autem dicimus quod potest
consolidari et iterum ad motum reddi habillis, cum hac cautela:
Cauterizetur utrumque caput nervi incisi peroptime cum ferro candenti,
sed cave vulneris lobia cum ferro calido tangantur. Deinde apponantur
vermes contusi et pulveres consolidativi, etc._
It will be observed that Gilbert, in spite of the rejection by Roland
of the egg-albumen dressing of Roger, still recommends its use in
wounds of the neck, and although he professes to have seen many nerves
regenerated (_consolidari_) under the simple angle-worm treatment
of his master, he still makes no mention of the painful treatment of
divided nerves by the actual cautery, so highly praised by Roland. It
would seem, therefore, that Gilbert was not familiar with the writings
of Roland when his Compendium was written, or he would, doubtless,
not have omitted so peculiar a plan of treatment in an injury of such
gravity. As Roland's edition of Roger's "Chirurgia" is said to have
been written in 1264, the comparison of these passages would seem to
indicate that Gilbert must have written the Compendium after 1230 and
prior to the year 1264.
Gilbert's surgical chapters discuss the general treatment of wounds
and their complications, and more specifically that of wounds of the
head, neck, throat, wounds of nerves, of the oesophagus, scapula,
clavicle, of the arm, the stomach, intestines and the spleen;
fractures of the clavicle, arm, forearm and ribs; compound fractures;
dislocations of the atlas, jaw, shoulder and elbows; fistulae in
various localities, and the operations on the tonsils and uvula, on
goitre, hernia and stone in the bladder, etc.--c
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