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Sushruta Samhita codifies surgery, including rhinoplasty

c. 600 BCE·Science, technology & invention·South Asia·
c. 600 BCEDate
Science, technology & inventionCategory
10Empires active
Date
c. 600 BCE
Category
Science, technology & invention
Region
South Asia
Era
Classical Antiquity
Significance

The Sushruta Samhita, a foundational Sanskrit treatise traditionally attributed to the physician Sushruta and conventionally dated to around the 6th century BCE in northern India, systematically codified the surgical knowledge of the ancient world.

It describes the etiology of over 1,100 diseases, hundreds of medicinal substances, more than 120 surgical instruments, and scores of operative procedures, including amputations, lithotomy, cataract couching, hemorrhoidectomy, and the management of fractures and wounds. Its most celebrated contribution is the first written record of reconstructive rhinoplasty, using a pedicled flap of skin from the cheek or forehead to rebuild a nose lost to injury or punitive mutilation, a method whose principles underlie modern plastic surgery. The text also pioneered documented surgical pedagogy, with students practicing incisions on gourds, cucumbers, and animal bladders. Modern scholarship regards the work as layered, with a surgical core that may originate in the last centuries BCE and a final redaction by roughly the 3rd to 4th century CE, but the tradition it preserves earned Sushruta the title 'father of surgery' in India.

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