The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson

About this Item

Title
The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson
Author
Paré, Ambroise, 1510?-1590.
Publication
London :: Printed by Th: Cotes and R. Young,
anno 1634.
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Subject terms
Medicine -- Early works to 1800.
Surgery -- Early works to 1800.
Anatomy -- Early works to 1800.
Link to this Item
http://name.umdl.umich.edu/A08911.0001.001
Cite this Item
"The workes of that famous chirurgion Ambrose Parey translated out of Latine and compared with the French. by Th: Johnson." In the digital collection Early English Books Online. https://name.umdl.umich.edu/A08911.0001.001. University of Michigan Library Digital Collections. Accessed June 13, 2024.

Pages

CHAP. XIX. How the section or amputation must be performed.

THe first care must be of the patients strength, wherefore let him be nourish∣ed with meats of good nutriment, easie digestion, and such as generate many spirits; as with the yolkes of Egges, and bread tosted and dipped in Sacke or Muskedine. Then let him bee placed, as is fit, and drawing the muscles upwards toward the sound parts, let them be tyed with a straite ligature a little a∣bove that place of the member which is to be cut off, with a strong and broad fillet like that which women usually bind up their haire withall; This ligature hath a * 1.1 threefold use; the first is, that it hold the muscles drawne up together with the skin, so that retiring backe presently after the performance of the worke, they may cover the ends of the cut bones, and serve them in stead of boulsters or pillowes when they are healed up, and so suffer with lesse paine the compression in susteining the rest of the body; besides also by this meanes the wounds are the sooner healed and ci∣catrized; for by how much more flesh or skinne is left upon the ends of the boner, by so much they are the sooner healed and cicatrized. The second is, for that it pro∣hibites the fluxe of blood by pressing and shutting up the veines and arteries. The third is, for that it much dulls the sense of the part by stupefying it; the animall spi∣rits by the straite compression being hindred from passing in by the Nerves: Wherefore when you have made your ligature, cut the flesh even to the bone with a sharpe and well cutting incision knife, or with a crooked knife, such as is here ex∣pressed.

Page 459

[illustration]
A crooked knife fit for dismembring; or a dismembring knife.

Now you must note, that there usually lyes betweene the bones, a portion of certaine muscles, which you cannot easily cut with a large incision or dismembring * 1.2 knife; wherefore you must carefully divide it and separate it wholly from the bone, with an instrument made neately like a crooked incision knife. I thought good to advertise thee hereof; for if thou shouldest leave any thing besides the bone to bee divided by the saw, you would put the patient to excessive paine in the performance thereof; for soft things as flesh tendons and membranes, cannot be easily cut with a saw. Therefore when you shall come to the bared bone, all the other parts being wholly cut asunder and divided, you shall nimbly divide it with a little saw about some foote and three inches long, and that as neare to the sound flesh as you can. And then you must smooth the front of the bone which the saw hath made rough.

[illustration]
The Figure of such a Saw.

Notes

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