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These locally found are about 1500 (estimate) years old, so the advancement by comparison is apparent over the years.
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It wasn't very long ago that some modern surgeons used obsidian scalpels for some types of surgery. An obsidian edge is much sharper then any steel blade. It was thought that an incision would heal faster and with less scar tissue when an obsidian blade was used.
Obsidian scalpel
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How do you hold it without lopping off a chunk of your hand or a finger?