Medieval Surgeons Were Advanced

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Medieval Surgeons

Were Advanced

BBC News

10-5-4

 

Surgeons were carrying out complicated skull operations in medieval

times, the remains of a body found at an archaeological dig show.

 

A skull belonging to a 40-year-old peasant man, who lived between

960 and 1100AD, is the firmest evidence yet of cranial surgery, say

its discoverers.

 

The remains, found in Yorkshire, show the man survived an otherwise

fatal blow to the head thanks to surgery.

 

Nearly 700 skeletons were unearthed by English Heritage at a site

near Malton.

 

Complex surgery

 

Scientists have been examining the remains from the now deserted

village of Wharram Percy.

 

Once a thriving community built on sheep farming, it fell into steep

decline after the Black Death and was eventually completely

abandoned.

 

The skull in question, dating back to the 11th century, had been

struck a near-fatal blow by a blunt weapon, causing a severe

depressed fracture on the left hand side.

 

Closer examination revealed the victim had been given life-saving

surgery called trepanning.

 

A rectangular area of the scalp, measuring 9cm by 10cm, would have

been lifted to allow the depressed bone segments to be carefully

removed.

 

This would have relieved the pressure on the brain.

 

Roman and Greek writings document the technique of trepanning for

treating skull fractures, but there is no mention of it in Anglo-

Saxon literature.

 

Some historians have theorised that western Europe was deprived of

such surgical knowledge for centuries after the fall of Alexandria

in the 7th century.

 

Violent times

 

Dr Simon Mays, skeletal biologist at English Heritage's Centre for

Archaeology, said: "This skull is the best evidence we have that

such surgery to treat skull fractures was being performed in England

at the time.

 

"It predates medieval written accounts of the procedure by at least

100 years and is a world away from the notions that Anglo-Saxon

healers were all about spells and potions."

 

Skulls dating back to Neolithic times show trepanning was performed

on individuals with no head wounds.

 

Historians believe this was presumably to treat other ailments,

possibly including mental illness.

 

The skull of the 40-year-old Yorkshire peasant shows the fracture

healed well.

 

Scientists believe the hole that remained would have eventually

closed over with hard scar tissue.

 

But they have questioned how a peasant would have been able to

afford this complicated medical treatment.

 

Examination of the other skeletons at the site revealed high levels

of malnutrition, disease and stunted growth.

 

Dr Mays said: "Medical skills were largely reserved for the elite.

 

"So the treatment handed out to Wharram's peasant doesn't square at

all with our knowledge of the period.

 

"It seems most probable that the operation was performed by an

itinerant healer of unusual skill, whose medical acumen was handed

down through oral tradition."

 

Ten of the other skeletons, including a child, also showed signs of

head injury caused by blunt objects.

 

Dr Mays said: "Violence at Wharram seemed to involve objects that

were near at hand, like farming tools.

 

"The peasant was probably involved in the medieval equivalent of a

pub fight, or could have been the victim of a robbery or a family

feud."

 

© BBC MMIV

http://news.bbc.co.uk/2/hi/health/3714992.stm