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Treatment of “Hernia” in the Writings of Celsus (First Century AD)

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Abstract

Descriptions concerning “hernia” can be found from the early historical years, and its treatment was a subject mentioned by numerous physicians of Antiquity, such as Hippocrates and Praxagoras of Kos. Yet, Aulus Cornelius Celsus, a famous doctor and encyclopedist of the first century AD, was among the first to propose surgical treatment and carry it out successfully, according to his accounts. Many physicians attempted to treat several types of “hernia” before him, but more “scientific” information with details and complete descriptions could be found only in Celsus’ work. In his book De Medicina, Celsus described eight types of “hernia”: bronchocele, umbilical hernia, intestinal and omental hernias, hydrocele, varicocele, sarcocele (hernia carnosa), and inguinal hernia. Among them, some retain their ancient nomenclature up to now, although others have acquired gradually different terminology or are not recognized by physicians today as “hernias” (e.g. , bronchocele). For each type of “hernia”, Celsus provided his readers with an extremely detailed, well reasoned description of the execution of surgical procedures accompanied usually with pre- and postoperative instructions. His innovations particularly concerned ligature of the vessels. He recommended that an injured vessel be tied in two places with lint threads and then cut between the ties. Other pre- and postoperative practices, such as sterilization and bandaging of the incised area, were elements that helped in the advances of medicine, and some of them still exist in modern medicine.

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References

  1. Patino JF. A history of the treatment of hernia. In Nyhus LM, Condon RE, editors, 4th edition, Hernia, Philadelphia, Lippincott, 1995;3–15

  2. Lau WY. History of treatment of groin hernia. World J. Surg. 2002;26:748–759

    Google Scholar 

  3. Littré E. Oeuvres Complètes d’Hippocrate, Des Airs, des Eaux et des Lieux, Vol. 2, Paris, Baillière, 1840; 37

    Google Scholar 

  4. Littré E. Oeuvres Complétes d’Hippocrate, Epidemies, livre II. Vol. 5, Paris, Baillière, section 1, paragraph 9, 1846;pp. 81–83

  5. Stoppa R, Wantz G, Munegato G, et al. Hernia Healers, an Illustrated History, Paris, Arnette, 1998;8

    Google Scholar 

  6. Caelius Aurelianus, Drabkin IE. On Acute Diseases and on Chronic Diseases, Chicago, University of Chicago Press, 1950;403

    Google Scholar 

  7. Marketos S. Illustrated History of Medicine, 4th edition, Athens, Zita, 2002;105

    Google Scholar 

  8. Védrènes A. Traité de Médecine de A.C. Celse, Paris, Masson, 1876;3–4

    Google Scholar 

  9. Celsus De Medicina Spencer WG, translator Vol. 3, Cambridge, MA, Harvard University Press, 1935;375

    Google Scholar 

  10. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377

    Google Scholar 

  11. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377

    Google Scholar 

  12. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377

    Google Scholar 

  13. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377

    Google Scholar 

  14. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377–379

    Google Scholar 

  15. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379

    Google Scholar 

  16. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379

    Google Scholar 

  17. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379

    Google Scholar 

  18. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381

    Google Scholar 

  19. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381

    Google Scholar 

  20. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;383

    Google Scholar 

  21. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;383

    Google Scholar 

  22. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;393

    Google Scholar 

  23. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395

    Google Scholar 

  24. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395

    Google Scholar 

  25. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395

    Google Scholar 

  26. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;397

    Google Scholar 

  27. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415

    Google Scholar 

  28. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;397

    Google Scholar 

  29. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399

    Google Scholar 

  30. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399

    Google Scholar 

  31. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399

    Google Scholar 

  32. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;401

    Google Scholar 

  33. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;405

    Google Scholar 

  34. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415

    Google Scholar 

  35. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;417

    Google Scholar 

  36. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;417

    Google Scholar 

  37. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;419

    Google Scholar 

  38. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;419

    Google Scholar 

  39. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;400–401

    Google Scholar 

  40. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381–383

    Google Scholar 

  41. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377

    Google Scholar 

  42. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;407

    Google Scholar 

  43. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415

    Google Scholar 

  44. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415

    Google Scholar 

  45. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;405

    Google Scholar 

  46. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;401, 403, 405

    Google Scholar 

  47. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;295–297

    Google Scholar 

  48. Bergman N. The Genesis of Surgical Anesthesia. Park Ridge, IL, Wood Library-Museum of Anesthesiology, 1998;4

    Google Scholar 

  49. Bostock J, Riley HT. Translation of Gaius Plinius Secundus—Natural History, Vol. 5, London, Henry G. Bohn, 1861;139–140

    Google Scholar 

  50. Gunther RT. The Greek Herbal of Dioscorides, Oxford, Oxford University Press, 1934;474

    Google Scholar 

  51. Atkinson RS, Boulton TB. The History of Anesthesia, London, Royal Society of Medicine Services and The Parthenon Publishing group, 1989; 24

    Google Scholar 

  52. Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;295

    Google Scholar 

  53. Claudii Galeni. Opera Omnia, De Tumoribus Praeter Naturam, Vol. 7, Kuehn CG, editor, Lipsiae, C. Cnobloch, 1824;730–731

  54. Claudii Galeni. Opera Omnia, De Tumoribus Praeter Naturam, Vol. 7, Kuehn CG, editor, Lipsiae, C. Cnobloch, 1824;730

  55. Tinckler L. The surgery of groin hernia. Nurs Times 1978;74:1579–1623

    Google Scholar 

  56. Lascaratos J, Tsiamis C, Kostakis A. Surgery for inguinal hernia in Byzantine times (AD 324-1453): first scientific descriptions. World J. Surg. 2003;27:1165–1169

    PubMed  Google Scholar 

  57. Bishop WJ. The Early History of Surgery. London, Robert Hale, 1960;51

  58. Blancou J. History of disinfection from early times until the end of the 18th century. Rev Sci Tech Off Int Epiz 1995;14:31–39

    Google Scholar 

  59. Christopoulou-Aletra H, Sidiropoulou A, Lazaridis L. Burns in the Hippocratic Corpus. Hellenic Med 1997;63:153–157

    Google Scholar 

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Acknowledgment

We thank Dr.H. Tsoukali-Papadopoulou, Associate Professor, School of Medicine, Aristotle University of Thessaloniki, for information concerning the chemical properties of substances used by Celsus during surgical operations and Emeritus Professor H. Aletras, for medical information and remarks on anatomy and surgery.

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Correspondence to Helen Christopoulou-Aletras Ph.D..

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Papavramidou, N.S., Christopoulou-Aletras, H. Treatment of “Hernia” in the Writings of Celsus (First Century AD). World J. Surg. 29, 1343–1347 (2005). https://doi.org/10.1007/s00268-005-7808-y

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