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.

Of the Arteriotomia, or apertion of the Arterys, or hartvaynes. Chap, 5.

COncerning the Arteriotomia, or apertione of the Arteryes, the praedicessors & auncient pro∣fessors vveare vvont to effect it especialle behinde the eares, & in the temples of the heade, a∣gaynst all continuall, & rebellious fluxions, & Rheumes of the eyes, in like sort alsoe, agaynst all diseases of the heade, vvhich have takē ther originall, frō hotte, dampishe, or subtile rheu∣mes: as yet novv a dayes vve doe, but not vvho lye as they vveare vvonte to doe, in openinge of the same: for soe farre forth as if the Arterye be small they then cut her cleane a sunder, & they also cut a peece therof avvay, & both the endes are dravven invvardes, vvher by shee as then bleedeth noe more.

And if the Arterye, be greate, & violentlye beateth, it is the surest vvay, that vve tye her vnder & above and then betvveen both those ligations cut her of, but the thredes vvhervvi∣th vve binde her, must be strōg & closly tyed because that through the continvall beatinge of the arterye, the thredes loosē, & the arte∣rye openeth, if so be it be not stiflye bovvnde: & because that she should not chaunce to cor¦rupt, before the inscision be replete & grovvē full of flesh: vvher through the mouth of the foresayed artery is stopped.* 1.1 But novv a dayes vve only make a simple inscision in the artery in such a manner as vve make an apertion in the vaynes, vvithout cutting of the same cle∣an of & having dravven as much blood ther∣out as vve desire, vve thē lay a litle playster of masticke on the apertion, & a litle compresse tyed theron rovvnd abovt the vvhole head as close as is possible. I knovve right vvell that ther are some vvhich houlde this apertione of the arteryes verye suspecte, because it cā hard∣lye be stopped agayne, and in doinge this, ther remayneth a cicatrice, in those partes vvhich are situated rovvnde about the foresayed arte∣rye, before the same is fullye cured, and ther

throughe often times an Aneurisma caused, vvhich is verye troublesome,* 1.2 and daungerous for the patient. But I may vvith verity affirme it to be true, that oftentimes I have seene ope∣ned the arteryes of the temples of the heade, vvithout any of the foresayed accidentes bein∣ge happened thervnto, the vvhich I coūcel the yonge Chyrurgiane to doe it onlye in this pla∣ce, because such an inscisione, is more fitter, & lesse daungerouse, thē the vvhole cuttings of, and ligature of the same.

Notes

• * 1.1

  Hovv vve vse novv adayes to to open an artery
• * 1.2

  Aneuris∣ma is a daunge∣rous disse¦se.