The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . means /of the brass syringe, with /from four to six ounces of ;tepid water. The use of diawing off the urine is to _ make sure of the bladdei holding the proper quan-tity of fluid when it is aftei-wards injected ; and theobject in injecting it, isto distend it with fluid tosuch an extent as to prevent the mucous membrane from being seizedin the grasp of the lithotrite, or injured by the splintering of the instrument is then withdrawn, after the situation of the stone hasbeen detected by
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . means /of the brass syringe, with /from four to six ounces of ;tepid water. The use of diawing off the urine is to _ make sure of the bladdei holding the proper quan-tity of fluid when it is aftei-wards injected ; and theobject in injecting it, isto distend it with fluid tosuch an extent as to prevent the mucous membrane from being seizedin the grasp of the lithotrite, or injured by the splintering of the instrument is then withdrawn, after the situation of the stone hasbeen detected by it, and the lithotrite is intro(iuced. Should the patientbe able to hold enough urine to protect his bladder from the action of. 767.—Introduction of the Lithotrite 778 URINARY CALCULUS. the litliotrite or the fragments, the injection maybe dispensed with, andthe litliotrite may at once be used. As this is straight, with a sharpell)ow near the beak, some little skill is required in passing it. In doingthis the Surgeon must keep liis eye upon the short curved beak of theinstrument, the direction and position of whicli must be constantly ob-served or ratlier judged of; and especial care must be taken, in carryingit under the ])ubes, not to injure the urethra by pusliing the beak of thelithotrite forwards too suddenly, instead of winding it, as it were, underthe arch of that bone. The instrument sliould first be introduced nearlyparallel to the abdomen, the penis being held between the left fore andmiddle fingers, and drawn over it. As the lithotrite passes down, itmust be gradually raised to the perpendicular position ; and as its curvepasses under the pubes, the handle should be depressed between thethighs (Fi
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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative
