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.

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    operations. We suppose then the wretched patient, a prey to the most agonizing feelings, and subjected to the most awful of the precaution- ary measures adopted in surgery, is placed, blind- folded, bound hand and foot, upon the operating table, with his body secured in the hands of assistants, and his breech raised conveniently on a level with the surgeon ^s breast, &c. The first instrument introduced into the blad- der, and this i^ done the first thing on account of the spasm of the urethra created by the feeling’s! of the patient, rendering its later introduction more difficult, is the staff. Of the objections to this instrument, little can be said without trench- ing upon what we have to observe upon the gorget.. We wdll however remark, that as this instrument is much more curved than a catheter, in order that it may be better felt in the perineum, and that it may give a direction to the other instru- ment employed more in the axis of the bladder, . this very circumstance of its shape renders it ; more difficult for the instrument to adhere to its • groove. It may, therefore, from this peculiarity of shape, slip from the staff and pierce or vio- lently bruise the bladder itself or some adjacent part; or the same disaster may arise from the length which is absolutely required in the staff* to