What is the difference between Wyatt's beginning use of cricothyrotomy in 1877 AD and the cricothyrotomy in the 52 Diseases Formulary?

White's began to use circumcision in 1877 A.D., but instead of a dog's bladder, he used a wooden peg inserted into the anus and then pulled out so that the contents of the hemorrhoidal fistulae were exposed to view for excision. We do not doubt that Wyatt's circumcision is much, much superior to the surgery of the "52 Disease Formulas", but the wooden pegs and bladders he used, when compared to the two, the level of the "52 Disease Formulas", I do not know how many times higher than Wyatt. To our surprise, as early as Wyatt's 2000 years, in this field of our medical doctors on the treatment of this more complex anal diseases, has reached a similar achievement with the 19th century Europe.