The Asclepion
Prof. Nancy Demand, Indiana University
- Bloomington
Greek and Roman Surgical Instruments
Physicians in the Classical World had access
to a variety of surgical instruments that were designed to aid
them in their treatment of the sick. Several ancient texts mention
the use of surgical tools and several of these texts offer a
brief description of some of the instruments used by doctors
in antiquity. The precise date when each instrument was first
employed is largely unknown. The most of the following instruments
seemed to have been available to Hippocrates (c. 460 BCE) and
continued to be used throughout the late Roman empire with several
existing in a similar form still being used by physician's today.
All of the below images were
taken from John Stewart Milne Surgical Instruments in
Greek and Roman Times. Claredon Press: Oxford, 1907. Copyright
no longer pending.
Scalpels: Scalpels could be made of either steel, bronze,
or a combination of the two metals (such as a steel blade
and a bronze handle). Ancient scalpels had almost the same form
and function as their modern counterparts do today. The two long
steel scalpels that make up the first and third columns of the
accompanying image are examples of the most ordinary type of
scalpel from antiquity. These long scalpels could be used to
make a variety of incisions, but they seem to be particularly
suited to making either deep or long cuts. The four bronze scalpels
which make up columns two and four are generally referred to
as "bellied scalpels." This variety of scalpel was
another favorite of physicians in antiquity since the shape of
its handle allowed more delicate and precise cuts to be made
(such as incisions between ribs).
From left to right and
top to bottom
Size of the original Museum
1) 14cm British
2) 17cm Naples
3) 17cm Naples
4) 12cm British
5) 15cm Naples
6) 18cm Naples
*Note- Any number visible within
the image does not correspond with the following key and that
the objects within the image are at different scales, therefore
please pay careful attention to the size of the original column
within the key.
Hooks: Hooks were
another common instrument used regularly by Greek and Roman doctors.
The hooks the ancient doctors used came in two basic varieties:
sharp and blunt. Both of these types of hooks are still used
by modern surgeons' for many of the same purposes for which the
ancient doctors first used them. For instance, blunt hooks were
primarily used as probes for dissection and for raising blood
vessels. Sharp hooks, like those pictured in the accompanying
image, were used to hold and lift small pieces of tissue so that
they could be extracted and to retract the edges of wounds.
From left to right and top
to bottom
Size of the original Museum
1) 14cm Saint-Germain
2) 11cm Saint-Germain
3) 10cm Saint-Germain
4) 15cm John
Stewart Milne
5) 17cm Naples
Uvula Crushing Forceps: With
their finely-toothed jaws these forceps were probably designed
to facilitate the amputation of the uvula. This procedure, as
described by Aetius in the first half of the sixth century, called
for the physician to crush the uvula with forceps (like the one
pictured in the accompanying image) before cutting it off in
order to prevent hemorraging.
From left to right
Size of the original Museum
1) 19cm British
2) 18cm British
Bone Drills: Bone
drills were generally driven in their rotary motion by means
of a thong in various configurations. Greek and Roman physicians
used bone drills in order to excise diseased bone tissue from
the skull and to remove foreign objects of considerable thickness
(such as a weapon) from a bone.
From left to right and
top to bottom
Size of the orginal Museum
1) 18cm Guildhall
2) 15cm Guildhall
3,4,5) After an illistration
in a manuscript by Vidus Vidius dating to 1544
Bone Forceps: This
forceps were used by ancient doctors to extract the small fragments
of bone which could not be grasped by the fingers. Naturally,
physicians often used such forceps in conjunction with bone drills.
Size of the orginal Museum
21cm Naples
Catheters and Bladder Sounds:
Physicians in the Classical World employed catheters in order
to open up a blocked urinary tract which allowed urine to pass
freely from the body. These early catheters were essentially
hollow tubes made of steel or bronze and had two basic designs:
one with a slight S curve for male patients (figure 1) and another
straighter one for females (figure 2). The same doctors also
used simular shaped devices which were solid, as opposed to hollow,
in order to probe the bladder in search of calcifications (figure
3).
From left to right
(ignoring the small illatration
in the lower righthand corner)
Size of original Museum
1) 26cm Naples
2) 20cm Naples
3) 15cm Mainz
Vaginal Speculum: Vagina
specula are among the most complex instruments employed by Greek
and Roman physicians. Several examples of such specula have survived
and they generally demonstrate the high degree engineering skill
available to the ancient doctors. Most of the vaginal specula
consist of screw device which when turned forces a cross-bar
to push the blades outwards.
Size of the orginal Museum
23cm Naples
Portable Medicine Chests:
As the ancestor of the "Docotor's Black Bag," these
small chests were the portable storage units for doctors in antiquity.
Small boxes have been found containing everything from scalpels
and probes to ointments and drugs. The box pictured in the accompanying
image is made of bronze and when opened (the lid is not pictured
with the box) the box is shown to be divided into six compartments,
two of which have their own seperate hinged lid.
Size of the orginal Museum
13cm x 7cm Naples