Hospital statistics of stone in the bladder ... in the Royal Infirmary of Aberdeen ... 20th March, 1838 to 20th March, 1843 / [William Keith].

  • Keith, William, 1802 or 1803-1871
Date:
1844]
Catalogue details

Licence: Public Domain Mark

Credit: Hospital statistics of stone in the bladder ... in the Royal Infirmary of Aberdeen ... 20th March, 1838 to 20th March, 1843 / [William Keith]. Source: Wellcome Collection.

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    1 was operated on upon the 17th day after admission 1 1 1 2 ~ 3 ~ 1 1 1 1 1 ... 1 1 23 Total. Some may think I am prolix on this head, but I wish it fairly to be seen, that, in my experience, few or none presented in which it would have been safe to have merely administered a dose of castor oil, and then have proceeded to operate. In a disease that has existed for months or for years, I can see no necessity for hurry- ing the patient to the operating table, especially as, during the period of preparation, the kind and attentive surgeon will have an opportunity of securing the well grounded confidence of the sufferer in his skill—a feeling desirable in every case where an operation is contemplated, but one almost essential to the success of lithotomy. II—The instruments I use, and would recommend to others, e few and simple. With the exception of a forceps, the whole /ill be seen represented of exactly half their natural size, (superficial, tot lineal measure,) in Plate IV. at the end of the present number !)f this Journal. 1. The staff is large, curved, and long in the curve, so as to enter well into the bladder, having a wide deep groove more on its lateral than on its convex aspect, but between them, the groove made to terminate abruptly, as a check, fully half an inch from the point of the instrument. 2. The knife is long in the handle, narrow and short in the blade, and, short as it is, its cutting edge is limited to an inch and quarter from the point; the back of the point is rounded off a little ; the heel of the blade thick, so that a very short hold can be taken of it when necessary, and its heel can do no harm when opening the urethra in the very deepest perineum. 3. The probe-pointed bistoury is very narrow, thick in the blade, and squared until it reach within an inch and quarter of the point, vhich is the extent of cutting edge. 18th 20th 21st 24th ~ 25th 26th 27th 37th ~ 38 th ~ 44 th ~ 51st 74th, whose age was 74. 25J3- as the average.