The modern treatment of stone in the bladder by litholapaxy : a description of the operation and instruments with cases illustrative of the difficulties and complications met with / by P.J. Freyer.

  • Freyer, P. J. (Peter Johnston), Sir, 1851-1921.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: The modern treatment of stone in the bladder by litholapaxy : a description of the operation and instruments with cases illustrative of the difficulties and complications met with / by P.J. Freyer. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    flint, was crushed fco atoms and completely removed by the aspirator in fifty-two minutes, without tho necessity of any dilatation of the urethra or injury to the urinary passage, shows whai can he done by the new operation, Though the crushing power of this instrument is very great and the strength of the steel enormous, it was noticed, both by the surgeons who honoured me with their presence dining the operation and by myself, that, when dealing with a large and hard stone of this kind, the leverage in the instrument is deficient. This might be easily remedied by having long knobs to the wheel- shaped handle of the male blade, and by the addition of a light cross-bar to the cylindrical handle of the female blade, both the knobs and cross-bar beiiir- removable, so that they might be applied only when lame calculi are dealt with. In Case CXX. death, I regret to record, resulted from the neglect of the patient's relatives and the hospital subordinate and was not justly attributable to the operation. With the exception of the five deaths above de- scribed, all the cases made excellent recoveries. ( yst it is. which so often followed on the old operation of litho- trity, and which often left the patients in almost as bad a condition as they were in before the operation, seldom occurs after litholapaxy ; and when it does occur, or had existed previous to the operation, is very amenable to treatment. Should cystitis supervene on the operation, the treatment during the acute stage will consist in perfect rest in bed, the administration of alkalies with demul- cent drinks, hot baths, hot fomentations to the