Page 2 - herina surgery and possible lawsuits

Table 1: Time line and contribution of the legendary contributor surgeon of ancient era, start
ofherniology era and anatomic era [1, 10, 21, 23]

Time Contributor Contribution

Ancient Era (Ancient time to fifteenth century)

50 AD Celsus Detailed description of hernia surgery with
haemostasis and preservation of the testicles.

200 AD Galen Henna produced by rupture of peritoneum with
stretching of overlymg fascia and muscles.

700 Paul of Aegina Distinguished between incomplete (bubonocele)
and complete (scrotal) inguinal hernia; for
complete hernia he recommended ligature of sac
with cord and orchiectomy

1363 Guy de Chauliac Distmguished inguinal from femoral henna;
develop ‘Taxis’ method to reduce hernia in
Trendelenberg position

Era of the Start ofHerniology (Fifteenth to Seventeenth Centuries)

1510-90 Ambrose Pare Advocated trusses, condemned orchiectomy,
operation m incarcerated and strangulated hernia

1556 Pierre Franco Introduced grooved director for incising neck of
sac in strangulated hernia without risk of bowel
injury

1559 Caspar Stromayr Defined direct and indirect hernias; Stressed
importance of high ligation of indirect sac;

Anatomical Era ( Seventeen to Nineteenth Centuries)

1700 Littre Reported Mackel’s diverticulum in hernia sac

1731 De Garengeot Reported appendix in the hernia sac

1743 Demetrius Described transabdominal approach for inguinal
deCantemir and femoral hernia

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