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
Patino JF. A history of the treatment of hernia. In Nyhus LM, Condon RE, editors, 4th edition, Hernia, Philadelphia, Lippincott, 1995;3–15
Lau WY. History of treatment of groin hernia. World J. Surg. 2002;26:748–759
Littré E. Oeuvres Complètes d’Hippocrate, Des Airs, des Eaux et des Lieux, Vol. 2, Paris, Baillière, 1840; 37
Littré E. Oeuvres Complétes d’Hippocrate, Epidemies, livre II. Vol. 5, Paris, Baillière, section 1, paragraph 9, 1846;pp. 81–83
Stoppa R, Wantz G, Munegato G, et al. Hernia Healers, an Illustrated History, Paris, Arnette, 1998;8
Caelius Aurelianus, Drabkin IE. On Acute Diseases and on Chronic Diseases, Chicago, University of Chicago Press, 1950;403
Marketos S. Illustrated History of Medicine, 4th edition, Athens, Zita, 2002;105
Védrènes A. Traité de Médecine de A.C. Celse, Paris, Masson, 1876;3–4
Celsus De Medicina Spencer WG, translator Vol. 3, Cambridge, MA, Harvard University Press, 1935;375
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377–379
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;379
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;383
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;383
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;393
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;395
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;397
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;397
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;399
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;401
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;405
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;417
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;417
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;419
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;419
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;400–401
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;381–383
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;377
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;407
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;415
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;405
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;401, 403, 405
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;295–297
Bergman N. The Genesis of Surgical Anesthesia. Park Ridge, IL, Wood Library-Museum of Anesthesiology, 1998;4
Bostock J, Riley HT. Translation of Gaius Plinius Secundus—Natural History, Vol. 5, London, Henry G. Bohn, 1861;139–140
Gunther RT. The Greek Herbal of Dioscorides, Oxford, Oxford University Press, 1934;474
Atkinson RS, Boulton TB. The History of Anesthesia, London, Royal Society of Medicine Services and The Parthenon Publishing group, 1989; 24
Celsus De Medicina Spencer WG, translator, Vol. 3, Cambridge, MA, Harvard University Press, 1935;295
Claudii Galeni. Opera Omnia, De Tumoribus Praeter Naturam, Vol. 7, Kuehn CG, editor, Lipsiae, C. Cnobloch, 1824;730–731
Claudii Galeni. Opera Omnia, De Tumoribus Praeter Naturam, Vol. 7, Kuehn CG, editor, Lipsiae, C. Cnobloch, 1824;730
Tinckler L. The surgery of groin hernia. Nurs Times 1978;74:1579–1623
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
Bishop WJ. The Early History of Surgery. London, Robert Hale, 1960;51
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
Christopoulou-Aletra H, Sidiropoulou A, Lazaridis L. Burns in the Hippocratic Corpus. Hellenic Med 1997;63:153–157
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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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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DOI: https://doi.org/10.1007/s00268-005-7808-y