The hydropathic encyclopedia: a system of hydropathy and hygiene .. . the wound; an inci-sion is then made into it, and the lips of this wound more closely unitedwith those of the first. Imperforate Urethra.—When this is a congenital malformatipa round trochar is to be inserted, followed by a canula, and then bjcatheter, and this is retained until the orifice \ieals. Liihontripsy and Lithotomt.—Each of these modes are resorted to for stone in the bladder. The former operation consists incrushing it in the bladder with an instrument called the lithontrijylor,and is only applicable to adults whe
The hydropathic encyclopedia: a system of hydropathy and hygiene .. . the wound; an inci-sion is then made into it, and the lips of this wound more closely unitedwith those of the first. Imperforate Urethra.—When this is a congenital malformatipa round trochar is to be inserted, followed by a canula, and then bjcatheter, and this is retained until the orifice \ieals. Liihontripsy and Lithotomt.—Each of these modes are resorted to for stone in the bladder. The former operation consists incrushing it in the bladder with an instrument called the lithontrijylor,and is only applicable to adults when the stone is soft and small; andvh« latter consists in cutting into the bladder with the gorget or knife. The operation of lilhontripsy is more frequently applicable to the fe-male, by i oason of the larger diameter of the urethra; »nd for th*lame reason, even this is very rarely necessary PARTICULAR OPERATIONS. 4M for Hie operation of lilhontripsy, the urethra must be dilated byougies until the Ikhontriptor will pass. This instrument, fig. 284, » Fig. 281. LITHONTRIPTOR INCLOSING A CALCULUS. then oiled and paajcu the bladder, while closed, as a commonbougie. When it cou;es in contact with the stone, the movable halfis pushed in, by which the blades are opened at the several joints; itis then rotated tiorc sit-e \o tiido, tightened occasionally, etc., so asto grasp the stone; when fixed between the blades—which fact isknown by the inability to iinw the sliding part back—the arms of thescrew are turned gradually, by which the slide is withdrawn and theblades brought slowly and witis ^reat foi-ct together. After the stonehas given way and the closed, it is to be reopened and man-aged in the same way for any largo fiagrubnu) which remain. Duringthe operation the patient is placed n a table, with the hips elevatedand the bladder full, or nearly so, or it may oe filled by injectionthrough the catheter. After the crushing process is completed, thelithon
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