Lanfranc Of Milan
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Lanfranc of Milan (–1315), variously called , or , was an Italian cleric,
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
who set up practice in France. Lanfranc was appointed personal physician to
Philip IV of France Philip IV (April–June 1268 – 29 November 1314), called Philip the Fair (french: Philippe le Bel), was King of France from 1285 to 1314. By virtue of his marriage with Joan I of Navarre, he was also King of Navarre as Philip I from 12 ...
and in 1296 published a thesis on
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
under the title Chirurgia Magna, the same title as a later work published by Guy de Chauliac, '' Chirurgia Magna''. As author Lanfranc of Milan came to be regarded as member of the 13th century Italian ''rational surgery'' school.


Education and career

Born in mid
13th century The 13th century was the century which lasted from January 1, 1201 ( MCCI) through December 31, 1300 ( MCCC) in accordance with the Julian calendar. The Mongol Empire was founded by Genghis Khan, which stretched from Eastern Asia to Eastern Eu ...
Milan Milan ( , , Lombard: ; it, Milano ) is a city in northern Italy, capital of Lombardy, and the second-most populous city proper in Italy after Rome. The city proper has a population of about 1.4 million, while its metropolitan city h ...
, Lanfranc was trained in
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
by
Guglielmo da Saliceto William of Salicet (1210–1277) (Italian: ''Guglielmo da Saliceto'';Plinio Prioreschi ''A History of Medicine: Medieval Medicine'' 1996 - Page 453 "Guglielmo da Saliceto" French: ''Guillaume de Salicet''; Latin: ''Guilielmus de Salicetum'') was a ...
in
Bologna Bologna (, , ; egl, label= Emilian, Bulåggna ; lat, Bononia) is the capital and largest city of the Emilia-Romagna region in Northern Italy. It is the seventh most populous city in Italy with about 400,000 inhabitants and 150 different nat ...
. To escape the
Guelphs and Ghibellines The Guelphs and Ghibellines (, , ; it, guelfi e ghibellini ) were factions supporting the Pope and the Holy Roman Emperor, respectively, in the Italian city-states of Central Italy and Northern Italy. During the 12th and 13th centuries, ri ...
feud, Lanfranc left his practice in Milan and moved first to
Lyon Lyon,, ; Occitan: ''Lion'', hist. ''Lionés'' also spelled in English as Lyons, is the third-largest city and second-largest metropolitan area of France. It is located at the confluence of the rivers Rhône and Saône, to the northwest of t ...
and then to
Paris Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
were he settled around 1295. Lanfranc found employment as surgery lecturer at the Collège de St. Côme, which
Louis IX of France Louis IX (25 April 1214 – 25 August 1270), commonly known as Saint Louis or Louis the Saint, was King of France from 1226 to 1270, and the most illustrious of the Direct Capetians. He was crowned in Reims at the age of 12, following the ...
had built to elevate the status of surgeons in the medical profession. Surgeons trained at the college were no longer
barber surgeons The barber surgeon, one of the most common European medical practitioners of the Middle Ages, was generally charged with caring for soldiers during and after battle. In this era, surgery was seldom conducted by physicians, but instead by barbers ...
but were not admitted to the medical faculty. Lanfranc was appointed personal physician to
Philip IV of France Philip IV (April–June 1268 – 29 November 1314), called Philip the Fair (french: Philippe le Bel), was King of France from 1285 to 1314. By virtue of his marriage with Joan I of Navarre, he was also King of Navarre as Philip I from 12 ...
and in 1296 Lanfranc completed the '' Chirurgia Magna'', dedicating it to Philip IV. In the book Lanfranc detailed cerebral concussion as well as
skull fracture A skull fracture is a break in one or more of the eight bones that form the cranial portion of the human skull, skull, usually occurring as a result of blunt force trauma. If the force of the impact is excessive, the bone may fracture at or near ...
, setting out when surgical intervention was necessary. Lanfranc argued that theory makes for better surgery and elevated surgery from a craft to a
science Science is a systematic endeavor that builds and organizes knowledge in the form of testable explanations and predictions about the universe. Science may be as old as the human species, and some of the earliest archeological evidence for ...
because a surgeon required knowledge of medical theory. Surgery started to be taught at
universities A university () is an institution of higher (or tertiary) education and research which awards academic degrees in several academic disciplines. Universities typically offer both undergraduate and postgraduate programs. In the United States, t ...
training physicians, thus Lanfranc had been asked by the dean of the surgery faculty at Collège de St. Côme to write down his knowledge for publication. Besides setting out the necessary knowledge of
anatomy Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its ...
Lanfranc documented his practical experience in treating ulcers,
fistulae A fistula (plural: fistulas or fistulae ; from Latin ''fistula'', "tube, pipe") in anatomy is an abnormal connection between two hollow spaces (technically, two epithelialized surfaces), such as blood vessels, intestines, or other hollow or ...
,
fractures Fracture is the separation of an object or material into two or more pieces under the action of stress. The fracture of a solid usually occurs due to the development of certain displacement discontinuity surfaces within the solid. If a displa ...
and
dislocated joint A joint dislocation, also called luxation, occurs when there is an abnormal separation in the joint, where two or more bones meet.Dislocations. Lucile Packard Children’s Hospital at Stanford. Retrieved 3 March 2013 A partial dislocation is refer ...
s. ''Chirurgia Magna'' became accepted as comprehensive guide to medical knowledge. Among Parisian professors and lecturers Lanfranc was noted for promoting ''cleanliness'' in surgery, instead of encouraging the accumulation of
pus Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during bacterial or fungal infection. An accumulation of pus in an enclosed tissue space is known as an abscess, whereas a visible collection ...
in the body of a patient. Lanfranc became known as the father of French surgery. He died 1315.


Legacy

Lanfranc had put rational surgical intervention on a par with
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pract ...
prescribed by physicians. In 1314 Henri de Mondeville published his Latin thesis ''Chirurgia'' in which he relied on the arguments of Lanfranc to position surgery as medicine. Lanfranc's treatise on surgery ''Chirurgia Magna'', also known as the ''Science of Chirgurie'' or ''Cirgurie'' to distinguish it from the '' Inventarium'', and other manuscripts on what was regarded to be ''rational surgery'' were in the
14th century As a means of recording the passage of time, the 14th century was a century lasting from 1 January 1301 ( MCCCI), to 31 December 1400 ( MCD). It is estimated that the century witnessed the death of more than 45 million lives from political and n ...
translated into English and were eagerly read in England as surgery textbooks. In the English translations of ''Chirurgia Magna'' the practical advice passed on by Lanfranc was given more room than the theoretical knowledge Lanfranc had also cared to impart. The ''Chirurgia Magna'' was republished as book in over seventy editions and translated into multiple languages from 1490 onward. Lanfranc is remembered in the English surgery profession for recommending in the ''Chirurgia Magna''
bloodletting Bloodletting (or blood-letting) is the withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and other bodily flu ...
to treat localized pain, such as
migrane Migraine (, ) is a common neurological disorder characterized by recurrent headaches. Typically, the associated headache affects one side of the head, is pulsating in nature, may be moderate to severe in intensity, and could last from a few hou ...
.


References

{{DEFAULTSORT:Lanfranc Of Milan 1315 deaths Year of birth uncertain 13th-century Italian physicians 14th-century Italian physicians Medieval surgeons Physicians from Milan