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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    Simplified. Allarton’s operation consists of an incision made by a sharp-pointed, narrow knife plunged into the perineum, so as to reach and open the membranous por- tion of the urethra, and which, on withdrawal, makes the necessary incisions of the perineal tissues. Into this incision a probe is passed down to the staff and into the bladder, as a guide upon which the finger can be introduced through the prostatic urethra into the blad- der, thus dilating the passage so as to permit the intro- duction of the forceps, and, if the stone be of moderate size, the extraction of the stone. This operation, called, in England, “ the Median” or “ Allarton’s operation,” has now been before the En- glish public for about ten years, and has attracted a great deal of attention, both in London and the Prov- inces. Most of the prominent English surgeons have given their opinion of the operation, and, what is more to the purpose, most of them have tried it. In a book published in 1863, entitled Median Lithotomy, Mr. Allarton gives a full history of his operation, and a very complete statement of all the views of the differ- ent English surgeons who have published anything on the subject. He gives, also, details of most of the cases in which his operation has been performed, and finally tabulates 170 cases, embracing all of which he could get any account,, by himself and by various other operators, of all ages from 1 h to 77 years ; and from these he claims a mortality of about one in twelve. In speaking of this table, Mr. Allarton says: “The fol- lowing list of operations comprises 170 cases, reported by 50 surgeons (hospital and private). They consist