. The principles and practice of surgery. its grasp. Operation of Lithotripsy by Oiviale and Thompsons Method. The patient resting upon his back, with his hips slightly elevated,the lithotrite, previously warmed and oiled, is introduced closed, in thesame manner as if a sound, having the same curve and length of beak,was employed. It is probable that the stone will be touched, and itssituation recognized as the beak of the instrument enters, and traversesthe floor of the bladder; ordinarily it will be found lying some dis-tance removed from the neck, at the base of the trigone. Thebeak of the
. The principles and practice of surgery. its grasp. Operation of Lithotripsy by Oiviale and Thompsons Method. The patient resting upon his back, with his hips slightly elevated,the lithotrite, previously warmed and oiled, is introduced closed, in thesame manner as if a sound, having the same curve and length of beak,was employed. It is probable that the stone will be touched, and itssituation recognized as the beak of the instrument enters, and traversesthe floor of the bladder; ordinarily it will be found lying some dis-tance removed from the neck, at the base of the trigone. Thebeak of the lithotriptor should then be slightly elevated and advancedto near the eentre of the bladder; when the male blade is slowly 840 LITHOTKIPSY. withdrawn an inch or more, and the instrument turned upon its axisto the right about 45°, and closed. If in this manoeuvre the stone hasnot been felt, the instrument is brought to its original position, openedand turned upon its axis to the left. In case the stone is not yet dis- Eig. 416. Fig. Introduction of the Lithotriptor. Calculus seized and ready for crushing. covered, the operator will depress the handle of his instrument so as toslightly elevate the beak, and repeat the manoeuvre above described,making the beak incline horizontally to the right and to the left. Fig. 418.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectg, booksubjectsurgery
