The Spatula Mundani was a
surgical
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery ...
device invented in the 17th century by the
London
London is the Capital city, capital and List of urban areas in the United Kingdom, largest city of both England and the United Kingdom, with a population of in . London metropolitan area, Its wider metropolitan area is the largest in Wester ...
surgeon James Woodall to treat extreme cases of severe
constipation
Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The Human feces, stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the ...
where
purgative
Laxatives, purgatives, or aperients are substances that loosen stools and increase bowel movements. They are used to treat and prevent constipation.
Laxatives vary as to how they work and the side effects they may have. Certain stimulant, lubri ...
s had failed.
Woodall believed that the cause of this malady was from
scurvy
Scurvy is a deficiency disease (state of malnutrition) resulting from a lack of vitamin C (ascorbic acid). Early symptoms of deficiency include weakness, fatigue, and sore arms and legs. Without treatment, anemia, decreased red blood cells, gum d ...
, but speculation is that many of the cases were from the abuse of
laudanum
Laudanum is a tincture of opium containing approximately 10% powdered opium by weight (the equivalent of 1% morphine). Laudanum is prepared by dissolving extracts from the opium poppy (''Papaver somniferum'') in alcohol (ethanol).
Reddish-br ...
, a tincture of
opium
Opium (also known as poppy tears, or Lachryma papaveris) is the dried latex obtained from the seed Capsule (fruit), capsules of the opium poppy ''Papaver somniferum''. Approximately 12 percent of opium is made up of the analgesic alkaloid mor ...
in alcohol commonly used at the time as a
painkiller
An analgesic drug, also called simply an analgesic, antalgic, pain reliever, or painkiller, is any member of the group of drugs used for pain management. Analgesics are conceptually distinct from anesthetics, which temporarily reduce, and in s ...
;
opioid
Opioids are a class of Drug, drugs that derive from, or mimic, natural substances found in the Papaver somniferum, opium poppy plant. Opioids work on opioid receptors in the brain and other organs to produce a variety of morphine-like effects, ...
drugs are known to cause constipation by reducing
gut motility
Peristalsis ( , ) is a type of intestinal motility, characterized by radially symmetrical contraction and relaxation of muscles that propagate in a wave down a tube, in an anterograde direction. Peristalsis is progression of coordinated cont ...
. A drawing of the device is found in his 1617 book .
The device was an
iron
Iron is a chemical element; it has symbol Fe () and atomic number 26. It is a metal that belongs to the first transition series and group 8 of the periodic table. It is, by mass, the most common element on Earth, forming much of Earth's o ...
tool slightly longer than 12 inches and consisted of a paddle at one end. The other end was spoon-shaped, with the center removed and a knob at the end. The spoon end was used to extract the "hard excrements" while the other was used for applying ointments, no doubt necessary after undergoing a procedure with this instrument.
The term ''mundani'' is apparently derived from the archaic term which appeared in a dictionary from 1604 with the definition "to make clean".
On an
archaeological
Archaeology or archeology is the study of human activity through the recovery and analysis of material culture. The archaeological record consists of Artifact (archaeology), artifacts, architecture, biofact (archaeology), biofacts or ecofacts, ...
dig at the
Jamestown, Virginia
The Jamestown settlement in the Colony of Virginia was the first permanent British colonization of the Americas, English settlement in the Americas. It was located on the northeast bank of the James River, about southwest of present-day Willia ...
, colonies a spatula mundani was found, and documents from 1608 report that it was part of a chest of surgeon's tools sent by Woodall to the colonies.
[William M. Kelso ''Jamestown Rediscovery, Volume 8'' Association for the Preservation of Virginia Antiquities, 2004 pg. 44]
See also
*
Instruments used in general surgery
There are many different Surgery, surgical specialties, some of which require specific kinds of Surgical instrument, surgical instruments to perform.
General surgery is a specialty focused on the abdomen; the Thyroid, thyroid gland; Disease, dis ...
*
Fecal impaction
A fecal impaction or an impacted bowel is a solid, immobile bulk of feces that can develop in the rectum as a result of chronic constipation (a related term is fecal loading which refers to a large volume of stool in the rectum of any consistency ...
References
{{Reflist
Surgical instruments
17th century in London
17th century in medicine
17th-century inventions
Constipation