Lithotomy / by Hugh Owen Thomas.

  • Hugh Owen Thomas
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Lithotomy / by Hugh Owen Thomas. Source: Wellcome Collection.

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    medio-bilateral operation with rectangular staff and median groove, flat bilateral cutting probe pointed gorget. The one operation I performed with Hutchinson's hollow staff and median groove, so excited my admiration, that it decided me when operating again, to employ his excellent staff in combination with Civiale's double-bladed bistoury. This decision I was soon able to test, and it so pleased me that I thought this operation would come up to my ideal. Before long however dis- covering in Braithwaite's Retrospect a description of Dr. Corbett's double rectangular staff with lateral grooves, it became apparent to me that it could be adapted to the median operation, and I planned a method and means of operation which may be said to be compiled thus, from the old operation, a scalpel; from Dr. Buchanan a rectangular staff (how I was ever so obtuse as to use a curved staff I cannot explain) ; Hutchinson, a median groove ; Civiale, a bilateral incision ; Corbett, a double staff; these were combined, with a small contribution by.Thomas, so that the method about to be described in these pages can be per- formed with but little risk to the patient, and requiring less manual dexterity on the part of the surgeon than any other method. From the moment of incising the skin of the perineum, to the opening of the bladder, there is no interruption or change of instruments, whicli is the only merit of the old lateral operation. In my earlier experience of the medio-bilateral operation, I noticed that though my cases always did well,—losing only two out of thirty-, one a child nine months, the other an adult of sixty- four—secondary hfemorrhage occurred out of proportion to the
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