On the comparative advantages of lithotomy and lithotrity : and on the circumstances under which one method should be preferred to the other : being the dissertation for which the Jacksonian Prize for 1838 was awarded / to Edwin Lee.

  • Lee, Edwin, -1870.
Date:
[1842]
Catalogue details

Licence: Public Domain Mark

Credit: On the comparative advantages of lithotomy and lithotrity : and on the circumstances under which one method should be preferred to the other : being the dissertation for which the Jacksonian Prize for 1838 was awarded / to Edwin Lee. 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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    which sometimes arise, and the occasional causes of failure. I might have added others, both from what has fallen under my own observation, and also from other sources, which would have repre- sented lithotrity in a much more favourable light ; but a repeated narration of simple and successful cases, where no circumstances have occurred materially to retard recovery, w’ould have been but little instructive ; and I therefore prefer to notice such as arc more interesting in a practical point of view. I have subjoined some statistical accounts of the average mor- tality after lithotomy, in different localities; and have commented upon the difference which exists in this respect between England and the continent. Ili.ustrativK Cases of IjIthotritv. Simple case; cure in one sitting.— A member of the Cham- ber of Deputies, aged had laboured under symptoms of stone for a year. The urethra and bladder were healthy, and not very irritaWe. The stone, which was judged to be about the size of an .almond, was crushed without difficulty by M. Civiale, with the curved lilhotrite, and the fragments were also broken in the same sitting. The detritus passed away readily; the patient suf- fered but little pain from the operation. No subsequent sittings were required, and he returned to the country cured, a month af- ter his arrival in Paris. Cure in one sitting by Jacobsons Instrument.—M. C. had suffered during eight months from symptoms of stone, and on sounding, several small calculi were detected. After a few days preparatory ddatation of the urethra, Jacobson’s instrument was in- troduced, and sonje of the calculi were crushed. Several frag- ments and small calculi passed away alter the operation, and on a subsequent examination, no remains of stone could be felt. This p.'itient was not apprised that the operation was about to be per- formed, but thought the instrument was passed in order to e.\a- mine the bladder, and when it was withdrawn, inquired of the ope- rator if he thought lithotrity applicable to his case. Large and hard Stone.—'I'lie Count de L , who had a hard stone in the bladder, measuring thirteen lines in its long diame- ter, was lithotritized by M. Amussat, in February 1834, by the method of percussion. Nounpleasantsymptomsensued,andasecond sitting took place four days afterwards, which lasted ten minutes ; several fragments being broken. The urine, which was tinged with blood after the first sitting, was perfectly clear after the se- cond and subsequent ones, which were also attended with less pain and inconvenience than the first. 'J’he fragments passed away readily ; and as no remains of stone could be felt in examining the c