A vindication of Read's patent syringe : against interested opposition and unphilosophical objections, with professional testimonials of its superior utility, and directions by which its employment is rendered easy and certain.
- Read, John, 1760-1847.
- Date:
- 1826
Licence: Public Domain Mark
Credit: A vindication of Read's patent syringe : against interested opposition and unphilosophical objections, with professional testimonials of its superior utility, and directions by which its employment is rendered easy and certain. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![ORIGINAL COMMUNICATIONS, SELECT OBSERVATIONS, &c. Art. I.— Case of Lithotomy, attended with Hemorrhage. By John Shaw, Esq. Surgeon lo the Middlesex Hospital, &c. [[With an Engraving.] To the Editors of the London Medical and Physical Journal. Gentlemen,—The subject of hemorrhage after the operation of lithotomy is considered of such importance, that lam in- duced to believe the history of the following case will be ac- ceptable to many of your readers. JOHN SHAW. The patient was a stout and fat country man, about sixty years of age. When he caine to the hospital, he did not know the nature of his complaint: indeed, so little idea had he that the cause of his symptoms was a stone in the bladder, that, on my proposing to sound him, he left the hospital. He was, however, persuaded to return ; and, about ten days after his admission, he submitted to be sounded. As the rub of the stone was sometimes felt only on the entry of the staff through the neck of the bladder, I was led to suspect that it was either a calculus projecting from a bed in the prostate, and which was pushed back into its sac by the convexity of the staff’ going over it, or that it was so small that it might, perhaps, be passed by the urethra. Under these circumstances, and as the slight irritation under which the patient suffered was always easily relieved, I did not perform the operation until he had been some time in the hos- pital, and had been repeatedly sounded. Operation.—After marking the place of the tuberosities of the ischia, 1 passed my left forefinger into the rectum, for the purpose of guarding the gut during the first steps of the operation. 1 commenced my incision an inch above the anus, near the raphe, and carried it obliquely past the anus. The patient being very fat, I at once thrust the scalpel to a consi- derable depth; so that this incision went through the skin, and at least an inch of fat. After cutting through more of this adipose substance, I withdrew my finger from the rectum, and passed it into the wound, for the purpose of directing the inci- sions through the levator ani. Then, feeling the staff through the face of the prostate, 1 cut upon it, and carried my knife forward through the membranous part of the urethra and](https://iiif.wellcomecollection.org/image/b28039154_0015.jp2/full/800%2C/0/default.jpg)
