Thiery M, Goossens N
Verloskundige Kliniek, Faculteit der Geneeskunde van de Universiteit Gent.
Verh K Acad Geneeskd Belg. 1993;55(2):89-121; discussion 121-2.
Destructive operations are the oldest type of bloody operation in obstetrics and possibly in the (written) history of Medicine. The name "embryotomy" is already mentioned in the hippocratic literature. The indication and technique of this "two-tempi" operation (embryotomy or reduction of the fetus and embryulcia or extraction of the reduced foetus) were thoroughly mentioned, described and coded for the first time by Soranos of Ephesos. Soranos was also the first to mention clearly by their names the instruments used. Only the Arabic physicians, especially Albucasim, transmitted to us the first image of their collection of instruments. The author elucidates the many--medical and ethical--aspects relating to embryotomy, which has been practised till after W.W.II.
破坏性手术是产科中最古老的一种血腥手术，可能也是医学（书面）史上最古老的一种。“碎胎术”这个名称在希波克拉底文献中就已被提及。这种“分两步进行”的手术（碎胎术或胎儿缩减术以及碎胎后取出术或取出缩减后的胎儿）的适应症和技术，首次由以弗所的索拉努斯进行了详尽的提及、描述并编码。索拉努斯也是第一个清晰地按名称提及所使用器械的人。只有阿拉伯医生，尤其是阿布尔卡西姆，向我们传递了他们器械收藏的首张图片。作者阐释了与碎胎术相关的诸多医学和伦理方面的问题，这种手术一直实施到第二次世界大战之后。
