The relapse of stone in the bladder after lithotomy / by Charles Williams.

  • Williams, Charles, 1827-1907.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: The relapse of stone in the bladder after lithotomy / by Charles Williams. 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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    The relapse of Stone in the Bladder after Lithotomy. By CHARLES WILLIAMS, F.R.C.S., Assistant Surgeon to the Norfolk and Norwich Hospital. [Reprinted from the “Lancet,” May 18th, 1878.] At a recent meeting of the Royal Medico-Chirurgical Society a very instructive discussion followed the delivery of Sir Henry Thompson’s elaborate and interesting paper on the subject of stone in the bladder.1 Allusion was made to the rarity of a recurrence of that disease, and Mr. Cadge referred to twelve cases of relapse recorded by the late John Green Crosse in 704 patients Operated on for stone at the Norfolk and Norwich Hospital.2 Mr. Crosse’s table of relapses is, in many particulars, incorrect, principally in the omission of three cases. The addition of these to his twelve makes the actual number fifteen which presented themselves from the opening of the institution in 1772 to 1834—the year in which Mr. Crosse compiled his table. The proportion of relapses therefore should be, one in every forty-seven, instead of one in fifty-eight.3 Since the latter year, fourteen additional cases have occurred at the Norwich Hospital. This makes a total of twenty-eight relapses in 1015 operations4 between 1772 and 1869—a period of ninety-seven years; and gives a proportion of one in thirty-six, or, in 935 lithotomies (lateral and median), one in thirty-three. An analysis of these cases5 shows that lithotomy was performed a second time in twenty-four patients, a third time in three, and a fourth time in one. Twenty-three were cured ; five died; five 1 “ Lancet,” March 16th, 1878. 3 “A Treatise on the Formation, &c., of the Urinary Calculus by J. G. Crosse. 1841. 3 If 35 females are excluded from Mr. Crosse’s table, the cases of lateral lithotomy will stand at 669, the recurrences at 15, the proportion 1 in 44. 4 Lithotrities and operations on females are included in this number. 5 “ Holmes’s System of Surgery,” vol. iv, second edition, 1870.