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Extra resources for Origins of the Knife Early Encounters with the History of Surgery. Vademecum

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Sushrupta discovered red-hot irons to be superior to the chemically induced cautery burn. The Indian surgeon of Sushrupta’s times utilized a great number of surgical procedures. Some of them were operations for cataracts 48 Origins of the Knife (couching), removal of bladder stones (lithotomy), repair of injured bowels (through laparotomy), drainage of pus from the chest cavity, reconstruction of noses, lips, and ears, and the use of large black ants as wound clips for closure. The Indian surgeon was imaginative, courageous, and meticulous in the development of his art.

This teaching was very much in agreement with the Hippocratic oath, causing scholars to wonder whether Sushrupta knew some of the concepts developed from previous Greek influences, or whether he antedated Hippocrates by a century or two. Unfortunately, as previously stated, the precise timing of Sushrupta writings is unknown. The Sushrupta Samhita described many operations performed by the Indian surgeon of the day. Techniques dealing with pain and infection were incorporated in their armamentarium.

For the purpose of historical continuity, this chapter is presented before the Greeks and the Chinese and Romans. In any event, the importance of Sushrupta’s work extends through generations to our times. Sushrupta divided surgery into eight procedures: incision, excision, scarification, aspiration, extraction, evacuation, probing, and suturing. The text described 121 sharp and blunt instruments the majority of which were sharp, such as knives, lancets, scissors, trocars and saws (Fig. 1). Other instruments included forceps, tubes, catheters, sounds, hooks, etc.

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