Scalpel

“ Up to the end of the sixteenth century almost all the work done in anatomy was effected with the aid of the scalpel alone, the object being to isolate and expose clearly to view the larger tissues and organs, such as muscles, arteries, veins, nerves, etc. In a very few instances more elaborate methods were devised, even as early as during the fifteenth [356] century, by men of exceptional cleverness. ”

“ The iron scalpel has already made acquaintance with not only the greater parts, but even with the infinitesimals of the human body; and reason, confined to this narrow range of a subject, perceives herself to be imprisoned, and quenches her guiding light in despair. ”

“ If the articulating heads must come out, a strong, thin scalpel is to be pushed in between the bones, the ligaments cut through above, below, and at the sides, and care should be taken, in removing one or two of these bones, not to dislocate the others, and the joint should be covered by a flap or flaps made for the purpose, the sides of the remaining fingers being covered in a similar manner. ”

“ At the present time, instead of such handles as these, with blades riveted into them, scalpels are forged out of one piece of steel, their handles are nickel-plated and perfectly smooth, that they may afford no crevices, and may be boiled and immersed in carbolic lotion without tarnishing or rusting; the scalpel has become just a single, smooth, plain piece of metal, having this one purpose that it shall make an aseptic wound. ”

“ When the head is mounted and dry, the ears will begin to shrink and shrivel up like a pair of dry autumn leaves, and the beauty of the head is gone forever! In skinning out the ear cartilage, a sharp scalpel of large size, or a cartilage-knife, is the best instrument, and it should be held in the fingers precisely as one holds a pen in writing. ”

“ For I can't help feeling that a younger man—myself, for example, twenty years ago—would have been into it before you could say scalpel, snatching his joy as one of your own parr will take a Wickham on a clear pool before the half-pounder beside him has even decided to inspect it. And if I have not done this, if I have learned the better way, the art of lingering, the value of the "bouquet," [Pg 10] well, there's a rather forlorn piece of scalp in the opposite looking-glass to tell me the reason why. ”

“ Later I shall discuss in detail the instrument of Meges, but I believe the instrument shown by Vulpes is only an ordinary scalpel with a somewhat bellied shape.
Hippocrates refers to a bellied scalpel in a well-known passage on empyema (ii. 258) :
Ὅκως σοι ἡ ἔξοδος τοῦ πύους εὐρὺς ᾖ τάμνειν δεῖ μεταξὺ τῶν πλευρῶν στηθοειδεῖ μαχαιρίδι τὸ πρῶτον δέρμα. ”

“ Scalops, skā′lops, n. a genus of American shrew-moles. [Gr. skalops, a mole—skallein, to dig.]
Scalp, skalp, n. the outer covering of the skull or brain-case, including the skin, the expanded tendon of the occipito-frontalis muscle, with intermediate cellular tissue and blood-vessels: the skin on which the hair grows: the skin of the top of the head, together with the hair, torn off as a token of victory by the North American Indians: the skin of the head of a noxious wild animal: (her.) ”

“ The scalping is an operation not calculated of itself to take life, as it only removes the skin, without injuring the bone of the head; and necessarily, to be a genuine scalp, must contain and show the crown or centre of the head; that part of the skin which lies directly over what the phrenologists call “self-esteem,” where the hair divides and radiates from the centre ”

“ When an American Indian slays an enemy, he removes the scalp as a proof of his victory. The scalp is a piece of skin, with the hair attached to it, taken from the very crown of the head, so as to exhibit that portion of the skin where the hair radiates from a centre. ”

“ In order to have thick, luxuriant, silky hair great attention must be paid to the condition of the scalp, since it is the scalp which contains the blood-vessels that nourish the hair. The scalp should be thick and pliable and move freely over the bones of the skull. If the scalp is drawn tightly over the bones of the skull, it tends to constrict the blood-vessels, and so lessen the supply of blood to the scalp and cause atrophy of the roots of the hair from pressure. ”

“ Scalping is an art, and the manner in which it is done, depends wholly upon the circumstances of the occasion. A complete and perfect scalp embraces the whole hair of the head, with a margin of skin all round it about two and a half inches in width, including both ears with all their ornaments. ”

“ The scalp you are to make is without a patent 168parting, but with a crown either of silk or skin. If any parting is to be made on this scalp, it should not be clearly defined, but whether it be formed with weft or “knotted,” the hair ought to be set closer than it is elsewhere. This, however, will be alluded to later on. Should a rather narrow scalp be all that is required, and the wearer’s hair thick enough, a parting could well be made upon the head, some of the natural hair being trained to comb over and allowed to mingle with the hair of the scalp. ”

“ If a warrior be hurried, as is mostly the case when scalping a fallen man in the heat of battle, he contents himself with the scalp alone. But, if he should have leisure, he removes the whole of the hair-bearing portion of the skin, and treats it as follows. He first cuts out a small circular piece containing the crown of the head, this being the actual scalp. The remainder of the hair he divides into little locks, and with them he fringes the seams of his leggings, the arms and edges of his coat, the shaft of his spear, the handle of his club, etc., etc. ”

“ The skin of your scalp is shedding tiny thin scales all day and all night, just as the rest of your skin is doing. Fortunately, 19your hair is growing from roots under the skin much in the same way as blades of grass grow from their roots; and, as it grows, it pushes up these scales from the surface of the scalp to where you can readily reach them with a good bristle brush. If they are not well brushed out, the dust and smoke from the air will mix with them, and the germs in the dust and smoke will breed in the mixture, and you will soon have “scurf” or dandruff on your head. ”

“ The scalp dance is generally danced by torch light, at a late hour in the night; and, in all tribes, the women take a conspicuous part in it, by dancing in the circle with the men, holding up the scalps just brought from battle, attached to the top of a pole, or the handle of a lance.
A scalp, to be a genuine one, must have been taken from the head of an enemy, and that enemy dead. ”

“ After the successful warrior's return the scalp or scalps captured were dried, mounted and consecrated by a solemn dance. Some tribes hung the scalps to their bridles, others to their shields, while sonae ornamented with them the outer seams of their leggings. Scalping was sometimes adopted by the whites in their wars with the Redskins, and bounties have been offered for scalps several times in American history. ”

“ I therefore consider it to signify an artificial covering for concealing a deficiency of hair, or to cover a bald place upon the female head—but not a wig. Just the 98same as a “scalp” is an artificial covering for the bald head of a man—but it is not a wig. Assuming, then, that my definition is correct, those of my readers who have much to do with board-work will readily perceive the variable nature of the invention. A scalpette can be made to cover a small space, or the entire top of the head; it can be formed with or without a “fringe;” with or without a parting or partings. ”

“ In pressing and dressing this scalp, I will assume that merely the points of the lower hair are to be removed, therefore push back with a comb the same as though you were about cutting a lady’s hair, and remove the ends with a sharp razor. Even this must be done in a particular manner, and is to be produced by a kind of sliding motion. Let me tell you the object which is to be attained, that you may the more readily understand what and how to do it. The natural ends of hair are finer and more pointed than they would be if cut. ”

“ The scalp, then, is a patch of the skin taken from the head of an enemy killed in battle, and preserved and highly appreciated as the record of a death produced by the hand of the individual who possesses it; and may oftentimes during his life, be of great service to a man living in a community where there is no historian to enrol the names of the famous—to record the heroic deeds of the brave, who have gained their laurels in mortal combat with their enemies ”

“ For a tanned scalp, a large fur needle and strong linen.
With the sewing completed, turn to nailing the scalp to the back-board. Turn the free edge of skin down over back of board and nail firmly with short broad headed nails so that when the surplus is trimmed off a turned over edge of skin two or three inches wide will remain, held snugly by nails set two inches apart. Count upon finishing a raw head all up at one go when using the plaster compo. This is the only compo. which can be recommended to hold raw, haired skins down, as the material must set before the skin begins to dry and pull. ”

“ To preserve the scalp from decay, a small hoop of about double the diameter of the scalp is prepared from a small withe, which grows on the banks of some of the streams in the West. The scalp is placed inside the hoop, and properly stretched by a network of thread connecting the edges of the scalp with the circumference of the hoop. ”

“ When the Indian sees his enemy fall he draws his scalp-knife—the modern is of iron, formerly it was of flint, obsidian, or other hard stone—and twisting the scalp-lock, which is left long for that purpose, and boastfully braided or decorated with some gaudy ribbon or with the war-eagle’s plume, round his left hand, makes with the right two semicircular incisions, with and against the sun, about the part to be removed. The skin is next loosened with the knife-point, if there be time to spare and if there be much scalp to be taken. ”

“ The hair upon the scalp is thicker and longer, the eyes remain closed, and very delicate hairs may be seen upon the margins of the eye-lids and upon the eye-brows. The nails are solid, the scrotum small and empty, the surface of the skin appears wrinkled but the dermis may be distinguished from the epidermis. ”

“ Scald Head is totally unlike the preceding disease: brown-colored scabs appear on the crown of the head, which discharge a glutinous matter, and unite the hairs, so as to prevent their being separated with a comb: these scabs continue to spread until they occupy the whole of the scalp. ”

“ Men go on war-path and hide near where Sioux get their water. Two women come to spring and as they run away one is seized, and scalp taken from side of her head. Men hurry back, and when they come to timber, leader takes fat from scalp and divides it into five pieces, which he places in four directions with one in center, first on his hand and then on the ground, to show that scalp is offered to gods. Scalp ceremony used when they get home. Fire-sticks are used to burn scalp. ”

“ This is usually taken from the crown of the head, of a small circular size; sometimes however they take the whole integuments of the skull, with which they ornament their war jackets and leggins, or twist into a brush for the purpose of keeping off the mosquitoes. The scalp is their glory and triumph, and is often carried by women stretched upon a stick, and hung with various articles so as to make a jingle to men when they perform the war-dance. ”

“ Incisions are to be made in the scalp from two to four or six inches in length, united by others, if necessary. The scalp will often be upward of an inch in thickness, and filled with a fluid partly serous, partly purulent. ”

“ When a portion of bone is as it were sliced off with the scalp and adheres to it firmly, the scalp and bone should be reapplied; and the cure will often be effected without difficulty. When the portion of bone cut off and hanging to the scalp, which is turned down, has but little adherence, it should be removed. ”

“ Diagnosis.—When the instrument impinges on the head obliquely, after piercing the scalp it may pass for some distance under it before perforating the skull, so that on its withdrawal a valvular wound is left, and at first sight it appears that only the scalp is involved. Sometimes a foreign body left in the gap so fills it up that it is difficult to detect the fracture with a probe or even with the finger. In all doubtful cases the scalp wound should be sufficiently enlarged to exclude such errors. ”

“ The men generally part the crop on their head in the middle, so that it flows on either side of the skull, just covering the ears, and I found the same strange custom that I observed years ago among the Ainu of Yezo of shaving a lozenge-shaped portion of the scalp in the centre of the forehead directly above the nose. ”

“ Keep the skin rolled up to prevent drying hard until mounting or sent to the tanner.{88}
An ideal deer scalp includes the neck skin entire to swell of shoulders and brisket. The incisions to be made for removing a deer scalp are shown in Fig. 32. A good sharp knife will be required for peeling the skin from the neck.
Fig. 32.
Cut very carefully up under rim of horn bases when removing skin from around them, using care not to haggle edge of skin. Use same care in skinning out the face, splitting lips and eyelids and skinning out the ears as in small mammal specimen. ”

“ However, most men do object to baldness, which can be prevented in nearly every case. To produce hair on a polished pate is a different proposition. It is indeed difficult. If you will look at a picture of the circulation of the blood in the scalp, you will notice that the arteries supplying it come from above the eye sockets in front, from before and behind the ears on the sides, and from the nape of the neck in the rear. They spread out and become smaller and smaller as they travel toward the top of the head, and especially toward the back. ”