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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    which does not allow it to rise sufficiently above n the pubis, to offer a sufficient surface clear of the i (Juplicature of the great abdominal membrane; I the danger of extravasation of urine; the fear of wounding the peritoneum; and, lastly, the double incision, where the sonde de dard* is employed. We have omitted to speak of the lithotomy forceps ; and we will now say that they decidedly exasperate the wound, sometimes contuse the opposite side of the bladder, when introduced too far, or when slipping in with a jerk, and that the loternal membrane is not unfrequently caught and lacerated between its chaps. It cannot be 'forgotten that it increases considerably the vo- dume of the stone to be withdrawn, and the con- .sequent contusion, even when the calculus is small, li the latter has slipped down near the bottom of llhe angle, formed by the two branches of the in- strument : the branches will diverge less for a Jarge stone, at its points, than for a small one at the angle. No man can doubt, says a justly esteemed elementary writerf, “ that the injury the If rJ’ “.7’’“'^ «■' should ennrely supersede the use of the sonde de dard. ■t o. Cooner.