The history and evolution of surgical instruments. Part XII: Complex, auxiliary and subsidiary instruments

Kirkup, John

doi:10.1308/003588404323043355

Cited by 18 publications

(31 citation statements)

References 3 publications

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“…This became the classic prototype for most used future models. His mouth gag of excentric pattern, introduced in 1714, was still advertised 250 years later by Mayer and Philips around 1930 and could still be ordered in minor modifications (Table 1) [5]. Principally, the development of general anaesthesia after 1846 resulted in an increased demand for jaw opening devices.…”

Section: Discussionmentioning

confidence: 99%

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The Evolution of Mouth Gags. Presentation of a New Modificated Denhart Mouth Gag

Hoefert

2012

J. Maxillofac. Oral Surg.

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Mouth gags are surgical devices placed between the upper and the lower jaw to prevent the mouth from closing during operative procedures of the mouth or throat. Since the beginning of the use of mouth gags in medicine, a wide variety of different models has been invented and described. Till now, slipping, sliding and dislocation in the mouth are problems observed during use, especially of one-sided mouth gags. These problems were already discussed at the beginning of the ninteenth century. The need for introducing a suitable mouth gag is emphasized since then. A modification of the well known one-sided Denhart mouth gag is presented. The new Denhart-Hoefert mouth gag has pivotal pads, which allow to compensate movements in surgery without dislocation. These pivotal pads give a stable and better fixation to the teeth, to the edentulous jaws and enable also to fixate other instruments like tongue plates. The use of the Denhart-Hoefert mouth gag in practice showed a less frequency of sliding and dislocation, especially during manipulation. Besides the description of these modifications a short historic overview of the mouth gag discussion is presented.

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Section: Discussionmentioning

confidence: 99%

“…[2]. Since the medical use of mouth gags, a wide variety of different mouth gags, with or without tongue depressors or plates, one-or double-sided, were invented and distributed [2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

The Evolution of Mouth Gags. Presentation of a New Modificated Denhart Mouth Gag

Hoefert

2012

J. Maxillofac. Oral Surg.

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“…The evolution of surgical handheld retractors parallels the evolution of safe body‐cavity surgery after the introduction of thermal sterilization techniques around 1850. Strong, rigid retractors were especially crucial for surgical exploration before the introduction of muscle‐relaxing anaesthesia in 1942.…”

Section: Evolution Of Handheld Retractorsmentioning

confidence: 99%

The St Mark's retractor

Jong

Clark

2019

British Journal of Surgery

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“…The same instruments and procedures could be used to cut off a pale and elongated uvula or to excise throat tumors [21], [26], [50], [51]. Kirkup supposed that Al-Zahrawi's guillotine was the first type of surgical scissors [52].…”

Section: Contributions In Ear Nose and Throat Treatmentmentioning

confidence: 99%

Could Al-Zahrawi Be Considered a Biomedical Engineer? [Retrospectroscope]

Saad

2016

IEEE Pulse

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In one?s career, it is good to look back at the predecessors in the field. Biomedical engineering history is full of hidden treasures, one of whom is Al-Zahrawi, a Muslim surgeon who had a wide reputation in Europe during the Middle Ages. Herein, besides recalling that he was a surgeon, the intent is to spotlight his talent in biomedical engineering. Important contributions in surgical instruments come up readily in a review of his work, contradicting the view some have maintained of him as a mere compiler. He was a true inventor, creating many surgical instruments that were not known in the Greco-Roman era. Quite early, he produced contributions influencing surgical procedures in Europe from the 14th to the 18th centuries. As a problem solver, he was aware of anatomical and physiological problems, and he moved through design, methods of manufacturing, and practical applications. The illustrations of such instruments in his encyclopedic work, Al-Tasrif, reflect his willingness to teach.

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The history and evolution of surgical instruments. Part XII: Complex, auxiliary and subsidiary instruments

Cited by 18 publications

References 3 publications

The Evolution of Mouth Gags. Presentation of a New Modificated Denhart Mouth Gag

The Evolution of Mouth Gags. Presentation of a New Modificated Denhart Mouth Gag

The St Mark's retractor

Could Al-Zahrawi Be Considered a Biomedical Engineer? [Retrospectroscope]

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