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Trepanation is one of the most ancient operationsIt has been practiced since the Stone Age.
Nowadays it is an integral part of almost all neurosurgical operations - it is how surgeons gain access to intracranial formations.
Trepanation is performed by making holes in the skull and crossing the bone between these holes☝🏻
So, how did things work in Stone Age times?
In a similar way, but, ahem, by different methods. We should also say that back then trepanation was performed not only for medical purposes, but also for ritual purposes.