Median lithotomy / by Thomas M. Markoe.

  • Markoe, Thomas M. (Thomas Masters), 1819-1901.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Median lithotomy / by Thomas M. Markoe. 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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    tered the bulbous portion of the urethra, which, with the superficial perineal tissues, was freely incised. Into the urethra, thus opened, were introduced various in- struments for stretching the passage into the bladder, and through the passage thus dilated the forceps were introduced and the stone extracted. This operation, which was but rudely executed, embraced a principle which has never been lost sight of; and many attempts have been made to revive it. In the year 1819, Sir Astley Cooper suggested and performed a similar opera- tion, opening the urethra in the perineum, and dilating the passage by the use of Dr. Arnott’s dilators, Dr. Arnott himself superintending this part of the manipu- lations. Manzoni, a surgeon of Verona, about the year 1808, published an account of his method of opera- ting, which consisted of an incision in the median line of the perineum, opening into the spongy portion of the urethra, and dilating the bulbous and membranous as well as the prostatic portions of the canal. De Borsa, also of Verona, made a very important advance on this suggestion, when, in 1843, he recommended opening the urethra at its membranous portion, and dilating only the prostatic portion, which he contended was the most dilatable part of the canal. De Borsa made two incisions: first, an external tegumentary cut; and second, an internal urethral incision, through which he introduced his finger, gradually forcing his way into the bladder. Acting on the suggestions thus presented, Mr. George Allarton, of South Molton, England, con- trived an operation, an account of which he published, in 1855, in a little pamphlet which he called Lithotomy