Blatchford James W
From the Department of Surgery, Yale University School of Medicine, New Haven, CT.
Ann Surg Open. 2024 Aug 9;5(3):e482. doi: 10.1097/AS9.0000000000000482. eCollection 2024 Sep.
Celsus' (first century ce) is the first comprehensive treatise on medicine and surgery to survive from antiquity. Bridging the gap between the Hippocratic Corpus and the works of Galen, it documents the important advances in anatomy and surgery of the Alexandrian school during the Hellenistic era. contains an anatomically based system of surgery and strikingly modern concepts of wound management, as well as the first accounts of hemostasis by ligature, per primam healing of wounds, amputation, and complex, elective operations, including lithotomy and inguinal herniotomy. The possibility (and desirability) of per primam healing, thereby permitting elective surgical procedures, was ignored until rediscovered in the 19th century; its recognition by Celsus prompts a re-evaluation of the excellence of ancient surgery.
塞尔苏斯(公元1世纪)的著作是现存最早的关于医学与外科的综合性论著。它填补了《希波克拉底文集》与盖伦著作之间的空白,记录了希腊化时代亚历山大里亚学派在解剖学和外科方面取得的重要进展。书中包含了一个基于解剖学的外科体系以及极为现代的伤口处理观念,还有关于结扎止血、伤口一期愈合、截肢以及复杂择期手术(包括膀胱结石切除术和腹股沟疝修补术)的最早记载。伤口一期愈合的可能性(以及可取性)使得择期外科手术成为可能,但这一观念直到19世纪才被重新发现;塞尔苏斯对其的认识促使人们重新评估古代外科的卓越成就。