Gilbertus Anglicus - Medicine of the Thirteenth Century by Henry Ebenezer Handerson
page 85 of 105 (80%)
page 85 of 105 (80%)
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should be sprinkled every day, and when the wound of the intestine is
entirely healed (_consolidatur_), the wound of the abdominal wall is to be sewed up and treated in the manner of ordinary flesh wounds. If, however, the wound is large, a pledget (_pecia_) of lint, long enough to extend from one end to the other and project a little, is placed in the wound, and over this the exterior portion of the wound is to be carefully sewed, and sprinkled daily with the _pulvis ruber_. Every day the pledget which remains in the wound is to be drawn towards the most dependent part, so that the dressing in the wound may be daily renewed. When the intestinal wound is found to be healed, the entire pledget is to be removed and the unhealed openings dressed as in other simple wounds. The diet of the patient should be also of the most digestible sort. Thus far Gilbert has followed Roger almost literally. But he now adds, apparently upon his own responsibility, the following paragraph: _Quod si placuerit, extrahe canellum: factis punctis in sutura ubi debent fieri antequan stringantur, inter duo puncta canellus extrahatur, et post puncta stringantur. Hoc dico si vulnus intestini sic (sit) ex transverso._ Apparently Gilbert feels some compunctions of conscience relative to the ultimate disposition of the canula of alder-wood, and permits, if he does not advise, its removal from the intestine before the tightening of the last stitches. Roland adds nothing to the text of Roger. But The Four Masters (_Quatuor Magistri_, about A.D. 1270) suggest that the canula be made |
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