The Frenche chirurgerye, or all the manualle operations of chirurgerye , vvith divers, & sundrye figures, and amongst the rest, certayne nuefovvnde instrumentes, verye necessarye to all the operationes of chirurgerye. Through Iaques Guillemeau, of Orleans ordinarye chirurgiane to the Kinge, and sworen in the citye of Paris. And novv truelye translated out of Dutch into Englishe by A.M.

❧How we ought to thrust in agayne the guttes, and the nett, which is suncke out of the bellye. Chap. 5.

* 1.1IN the great vvoundes of the bellye, vvhich enter into the concavitye of the same, therin is vsed an other māner of sovv¦inge, vvhich the auncient pro∣fessors call Gastroraphia, that is as much to saye, as the bellye suture or sovvi∣nge. But because in such vvoūdes, most com∣monlye the guttes & the net come to sincke out, it is therfore first of all necessarye, that vve hādle of the meanes, throughe the vvhich vve might agayne restore in to ther former place the guttes, or the nett, for othervvyse can not the sovvinge be effected, or brought to passe.

* 1.2VVhen as therfore it chaunceth, that the guttes are suncke out of the bellye, vve must then first of all dillygentlye consider, vvhether in noe place they are vvounded, or hurte, se∣condly, vvhether as yet they retayne the natu∣rall coloure, for if soe be the small guttes are cleane cutt of, & especiallye that emptye one, vvhich vve call Ieiunum, it is then impossible that he may be healed agayne, because of a great companye, and divers greate vaynes, vvhich are therin, allsoe consideringe his sub∣tyle and synuishe tunicle or koate, and becau∣se he continuallye receaveth the Cholera, and is situated more neerer the liver, then anye o∣ther. But the great guttes beinge hurte, vve may rightvvell sovve them, yet not vvithout a stedfast hope that vve are able to cure them, althoughe in respecte of the smalle guttes, by the great ones, vvhich are hurte, it is allvvayes better to have a doubtfull confidence then a certayne dispayre, as much as belongeth vnto ther curinge. If soe be anye of thē be blacke, or pale, (vvhich is a certayne signe they have lost ther feelinge) there is nothinge to be do∣ne vnto them, or at the least verye little. But if soe be as yet they retayne the vitalle colou∣re, vve must by all meanes endevoure to brin¦ge them in agayne, and that vvith all possible expeditione, because the externall ayre, in the vvhich they are not vvōte to be, doth straight vvayes change and spoyle thē. And first of all if they be vvounded, vve must stitch thē vvith the furriers suture, vvhich above vve have di∣scribed, & vvhē they are sovved, bringe them into there naturall place or situatiō, dilligent∣lye notinge that vve doe not let the end of the threde hange in the vvoūde, because vvhen as they are cured, vve may dravve the threde ther out, & not let it sincke into the bellye, for the vvhich occasione he ought be reasonable lon¦ge, vvithout cuttīge of him from the sovvīge.

But vvhen as vve vvill beginne or take such a thinge in hand,* 1.3 vve must as then conveniēt∣lye set, or lay the patient: even as if the vvoun∣de vveare in the bottome of his bellye, vve then laye the patient one his backe, vvith his thighes & his buttockes alofte: if soe be the vvounde vveare in the vpper parte of his bel∣lye, the patiēt must lye one his backe hyghlye situated all most sittinghe, because that the vvoūded partes may suspend & hange in the bellye: if soe be the vvoūde be in the right sy∣de, vve must thē situat the patient one his left syde, and if in the left syde he be vvounded, he must then lye one his right syde: vvhen as the vvoūde is soe narrovve, & soe smalle, that the svvollē gutt, vvhich hāgeth out, cānot agayne be put therin, it is then necessarye, ether that by arte vve drive avvay, & consume the vvyn∣des vvhich cause the tumefactione and svvel∣linge, or that vve dilate the vvounde: but it is allvvayes best that vve trye first of all to repell the svvellinghe of the guttes, vvhich must be effected vvith some resolvinge and strengtheninge medicamentes,* 1.4 amongst the vvhich must be entermingled some mollify∣inge and softeninge medicamentes: as vvhen the guttes are to drye, vve must then bath thē, in vvarme vvater, in the vvhich must be done a little quantitye of oyle of roses, or els vvith some grosse blacke vvyne, because it streng∣theneth and vvarmeth the guttes more then vvater: & if soe be the guttes vvith these reme∣dyes, vvill not as yet relaye ther svvellinge, & tumefactione, it vvas then the vse of Mr Pa∣re, chiefe Chyrurgiane to the kinge, in divers places to pricke them throughe, vvith a need∣le, through the vvhich the vvyndes as then de∣parte. Havinge thus finished all this, if soe be there be such a quantitye of guttes suncke out of the bellye, that they can not in anye sorte be put in agayne at the same entrāce, or vvoū∣de, because shee is to little, vve must as then dilate it vvith a crooked Lācet, vvhich cutteth but one the on syde, dilligētlye notīge that in any sort vve doe not hurt the entralls, vvhich beinge finished, a cōveniēt persone thervnto shall vvith his fingers, hould a sunder the ed∣ges of the vvoūde, & the Chirurgiane impose

foresayed guttes agayne into ther places, first of all intrudinge of those vvhich vveare last, in the comminge or sinckinge out, exactlye notinge,* 1.5 that everye circumvolutione of the guttes, or everye revolutione of the same, may obtayne ther ovvne place, intrudinge the sa∣me therin vvith the fingers, and one such a manner that the one may follovve the other: othervvyse that vvhich is allreadye thruste in, the finger beinge taken avvaye, might chaun∣ce retire and come forth agayne, vnlesse that vvith anye other finger vve retayned the sa∣me, vvhylest that the other finger is finishin∣ge his operatione or vvorke, vvith bringinge an other portione or parte, into his place, and vsinge this manner,they may easylye be redu¦ced into ther former places. VVhich beinge done, (imposing or layinge the hande one the vvounde) vve must as then a little stirre and iogge the bodye of the patient, vvhere throu∣ghe the entralles, vvill situate, settle, or place them selves everye one in his naturall & pro∣pre place, even as they vveare, before they vve∣are removed out of the same.* 1.6 If the net, issu∣eth out of the vvounde, and the same be not hurt, or vvithout anye vvounde, and as yet sovvnde, vve must genttlelye cause it to sincke one the guttes, but if soe be anye parte ther of or portione is become blacke or leadishe co∣loured, vve must as thē a little above the blac∣kenes bynde it, to praevent the bleedinge, and cutt it of vnder the foresayed succincture, and immediatelye reduce that into the bellye a∣gayne vvhich is not as yet blacke, & is yet soū∣de, layinge the end of the threde hanginge out of the vvounde, because therafter vve might easylye extracte and dravve it forth, vvhen as it shalbe therof loosened, and the vvounde be come te goode suppuratione and voydinge of matter.

Notes

• * 1.1

  Gastrora∣phia or bellye su∣ture.
• * 1.2

  The small guttes beinge hurte, & cleane cut a sun∣der, can not by anye me∣anes be∣cured.
• * 1.3

  After vvhat mā¦ner vve must set the patiēt
• * 1.4

  What vve ought te doe vvhē the descē¦ded and svvollen gutt can not be put in ag∣ayne or restored into his place.
• * 1.5

  The en∣tralls must eve∣rye one be brought into his naturall statione.
• * 1.6

  After vvhat sort vve ought to put in the net.