Practical remarks on amputations, fractures, and strictures of the urethra / by Stephen Love Hammick.

  • Hammick, Stephen Love.
Date:
1830
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on amputations, fractures, and strictures of the urethra / by Stephen Love Hammick. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    CHAPTER V. CAUSES OF DEATH FOLLOWING LITHOTOMY. PAUB Causes of Death at different Ages must be considered separately.— Causes of Death in Adults.—A. Deaths from Error or Mischance in the Operation.—Deep Incision may produce H;emorrhage or divide tissues too deeply: ' Infiltration of Urine,' not so produced.— Mechanical Violence in removing Stone.—Cheselden's Directions: Martinean, Pouteau, Keith, Humphry.—Perforation of Bladder by Staff.—P>. Causes of Death not under control of Operator.—Organic Disease of Urinary Organs.—Exhaustion of Vital Power.— Peritonitis.—Septicaemia.—Tetanus.—Causes of DeaUi in Children: why differing from the preceding.—Peritonitis : very rarely, Infiltra- tion.— Exhaustion, &c 02 CHAPTER VI. DIFFICULTIES AND DANGERS MET WITH IN LITHOTOMY. 1. Difficulties and Dangers peculiar to the Age of the Patient—those of Infancy.—In Age, Rigidity of Tissues; Enlargement of Prostate, &c. 2. Difficulties from Personal Peculiarity in the Subject—Deep Perineum; Narrow Pelvis; Unusual Distribution of Arteries, &c. 3. Difficulties due to Peculiarity in the Stone—Size; Form; Number; Situation; Encysted Calculi; Contraction of Bladder on Stone.— Calculi adhering to the Bladder.—Accidents—Wound of Rectum ; Removal of Portion of Prostate ; Fragments remaining after Operation ; Secondary Haemorrhage ; Wound remaining Fistulous ; Impotence; Incontinence of Urine; no Stone found at Operation . . .78 CHAPTER VII. THE RESULTS OF LITHOTOMY. My own Inquiry, embracing 1,827 Hospital Cases by numerous English Operators.—Complete Analyses of them.—Affords a True Result of Lateral Method before Lithotrity was general.—Results of Cheselden's Practice.—And Martineau's.—Now that both Crushing and Cutting Operations are employed, results must be different.—Fergusson's (!ases.- Keith's.—The Author's.—Results of other Forms of Lithotomy. 110 CHAPTER VIII. LITHOTRITY. INTRODUCTORY. General Observations relative to its Rise and Progress.—The Importance of Treatment preliminary to the Operation—Its Nature, General aud Local 12]