Cerrahinin Taş Devri

Abstract

Bu yazıda, mesane ve böbrek taşlarının cerrahi müdahaleleri, Hipokrat devrinden başlayarak Rönesans dönemine kadar ele alınmıştır. Celsus’un teknikleri, Arap tıbbının cerrahiye etkisi, Frère Jacques gibi seyyar taş cerrahlarının uygulamaları, cerrahide etik tartışmalar ışığında değerlendirilmiştir. William Cheselden’in suprapubik ameliyat yöntemi vurgulanarak litotominin modernleşme süreci aktarılmıştır. Samuel Pepys’in günlüğünden alınan pasajlarla hastaların deneyimlerine dair bilgiler sunulmuştur. Yazı, nadir gravürler ve bibliyografik referanslarla desteklenmiştir.

Keywords

• litotomi
• mesane taşları
• Ortaçağ cerrahisi
• Hipokrat yemini
• tarihsel aletler
• cerrahi etik

The Stone Age of Surgery

Abstract

This historical commentary explores the evolution of bladder and kidney stone surgery from antiquity to the Renaissance. Starting with the Hippocratic prohibition against stone surgery, the article reviews early techniques described by Celsus, Arabic medical doctrines, and the influence of itinerant lithotomists like Frère Jacques. It emphasizes the ethical debates around surgical invasiveness and highlights key developments, such as Cheselden’s suprapubic operation. The discussion integrates references to notable figures, their procedures, and the sociocultural reception of stone surgeons across centuries. Rare illustrations and excerpts from Pepys’ diary provide additional context for patient experience during early urologic surgery.

Keywords

• lithotomy
• bladder stones
• medieval surgery
• Hippocratic oath
• historical instruments
• surgical ethics

References

1. Holmes OW: Medical Essays, Boston, 1852 Tolet F: Traité de la Lithotomie, Paris, 1681 Pepys S: Diaries (Selections), London, 17th century Cheselden W: Treatise on the High Operation for the Stone, 1723 Power D: Medical History of Mr. & Mrs. Pepys, Lancet, 1895 Pasteau O: La Chirurgie Urinaire en France, Paris, 1908