On the removal of stone from the bladder, without the use of cutting instruments ... : together with a description and plates of the instruments invented by Dr. Civiale and others, and details as to the mode of using them / by H.G. Belinaye.

Date:
1825
Catalogue details

Licence: Public Domain Mark

Credit: On the removal of stone from the bladder, without the use of cutting instruments ... : together with a description and plates of the instruments invented by Dr. Civiale and others, and details as to the mode of using them / by H.G. Belinaye. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    139/152 (page 131)
    not be accounted of so much consequence, when it is reflected, that the patient, during the treatment, does in general scarcely clfluige his ordinary habits of life; that he observes no regimen, and is not confined to his house, except on the day of the operation ; that the next and following days he rises, walks, eats, drinks, and attends even to his business, provided it is not of a violent nature; in fine, that the most perfect health follows the egress of the last particle of stone*. Doubts have been expressed with respect to the so- lidity of the lithontriptor, and fears as to the lesion of the vesical parietes. These fears disappear at once when the form and mechanism of my instruments are examined. With respect to any anxiety that may exist in regard to any particle of stone being left behind, that might create fresh disease, it suffices to consider the form of the forceps, whether that Avith three or that with two branches, with Avhich even the finest de- tritus has been withdrawn after an operation, and to remember how capable the urethra is of allowing a spontaneous passage to the detritus, and even to consi- ' derable fragments of stone, to be convinced how little foundation there is for this alarm. As to the irritation which broken and angular pieces of stone might be I supposed to create in the bladder, all that is required I to dispel this fear, and all the other objections, is, to t consult facts and experience, which will silence all ar- * Here follow half a dozen lines, in which this picture is ^ contrasted with that of lithotomy. k2