Lectures on the American eclectic system of surgery . to any portion of the bladder. The best prospect of success in the use of the lithontriptor iswhen the urethra and bladder being sound, the prostate in anatural condition, and the patient an adult, the stone is both 766 OPERATIONS ABOUT THE PUBIC REGION. small and soft. If any of these conditions are wanting, lithot-omy is the only resort. Children are, of course, excluded fromthe list of cases for lithontripsy, by the narrowness of theirurethra. For the Operation op Lithontripsy, The patient is placed on a table covered with quilts; the hi
Lectures on the American eclectic system of surgery . to any portion of the bladder. The best prospect of success in the use of the lithontriptor iswhen the urethra and bladder being sound, the prostate in anatural condition, and the patient an adult, the stone is both 766 OPERATIONS ABOUT THE PUBIC REGION. small and soft. If any of these conditions are wanting, lithot-omy is the only resort. Children are, of course, excluded fromthe list of cases for lithontripsy, by the narrowness of theirurethra. For the Operation op Lithontripsy, The patient is placed on a table covered with quilts; the hipsare elevated so as to throw the stone back from the mouth ofthe urethra, and the bladder, if not already full of urine, is tobe nearly filled with tepid water, injected through a urethra must have been previously dilated by the repeateduse of bougies, increasing the size, from time to time, for aweek or more, until the litkontriptor will enter. This intrument(Fig. 141) is then warmed, oiled, and passed in, closed up, as a Fig. 141 .*. common sound or bougie. When it comes in contact with thestone, the movable half is pushed in so as to open the blades atthe joints, and form a sort of firm loop or noose. Rotate thisfrom side to side, and tighten a little occasionally, so as to graspthe stone whenever it gets into the loop. As soon as it is fixedbetween the blades, as represented in the above drawing, whichwill be known by your inability to draw the sliding half back,turn gradually upon the arms of the screw, which slowly, butwith great force, draws out the slide, and brings the bladestogether. When the stone gives way, and the instrument closes,re-open it and maneuver as before to catch any large fragmentsthat may remain; continue this until all are finely crushed;then withdraw the instrument, and let the patient turn over *Drawn and engraved by G. K. Stillman, from the instrument as manufac-tured by Mas. Wocher, both of this city. LITHOTOMY. 767 with his face dow
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
