The median operation of lithotomy / by Kelburne King.

  • King, Kelburne, 1823-1886.
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: The median operation of lithotomy / by Kelburne King. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    THE MEDIAN OPERATION OF LITHOTOMY. By KELBURNE KING, M.D., Edin.1 [REPRINTED FROM THE EDINBURGH MEDICAL JOURNAL, -JANUARY 1850.] On the 4th of February 1854, I performed Mr Syme’s operation on an excessively irritable and tight stricture, of many years dura- tion, and haying a small calculus impacted behind it. After com- pleting the incisions and removing the urethral calculus, I intro- duced a full sized silver catheter into the bladder, and immediately became aware of the presence of another calculus. Thinking that it ^miglit lie in the prostatic portion of the urethra, I carefully extended the incision in a backward direction, and introduced first a pair of dressing-forceps, and then my finger, into the wound. I found that a stone of considerable size existed in the bladder, too large to admit of extraction with the ordinary dressing-forceps, or, as far as I knew then, with any other forceps; but I was much stiuck at the time with the nearness of the external wound to the stone, and the facility with which a digital examination of the latter was made. I, however, drew from this fact no practical deduction, until, in the Lancet for May 12, 1855, I read a review of Mr Allar- tons little work, entitled “Lithotomy Simplified.” This recalled vividly to my mind the feeling I had experienced in the case alluded to above, that the uncut prostate was capable of very considerable c natation,. and that had I had a larger pair of forceps with me on that occasion, I might have extracted the stone. 1 Performed the operation, as described by Mr Allarton, twice on G C<?a' ,, L anc^ convinced myself, by a subsequent dissection of me parts that a stone of moderate size, say If inch long by Hindi “ “d,' >”<=J top, could be readily extracted without pitduc- g aceration.of the prostate,2 and with a perfect certainty of not ofSrCatd t0 the Medical Souie^' of the Hul1 and Ea«t Riding School age Lm Vandam.BdtHhea- figU™S bec,ause the-v ^present a stone of full the anr- ifpSnceof Ib%dn™1S10118 ,of 0I1C which I removed from the dead body, prostate •uid oMin. n ^> aiul piovred, by dissection afterwards, that the prostate and other adjacent parts were uninjured.