An American text-book of genito-urinary diseases, syphilis and diseases of the skin . be considered under a separate heading, and we will nowcontinue the consideration of the perineal methods. The perineal methods were practised by priests and laymen as late as theearlier part of this century. The Franciscan monk Frere Jacques (JacquesBeaulieu) is said to have done several thousand perineal operations for , who was a barber, was also a successful operator. The English surgeon Cheselden was the first to place the lateral perinealoperation on a scientific anatomical basis, and the resul
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . be considered under a separate heading, and we will nowcontinue the consideration of the perineal methods. The perineal methods were practised by priests and laymen as late as theearlier part of this century. The Franciscan monk Frere Jacques (JacquesBeaulieu) is said to have done several thousand perineal operations for , who was a barber, was also a successful operator. The English surgeon Cheselden was the first to place the lateral perinealoperation on a scientific anatomical basis, and the results of his operationswere so good that it became popular throughout France, Germany, and Eng-land. Cheseldens incision divided the prostates left lobe entirely. Le Cat modified Cheseldens incision by limiting it to a partial divisionof the prostate only, and he entered the bladder by a blunt dissector afterhaving cut through the outer tissues. Hawkins introduced the cutting gorget at the end of the last century. With slight modifications modern lateral lithotomy is the same as the. Fig. 133.—Bar to hold the legs, with strap to go over the shoulders. operation of Cheselden. That surgeon at the end of his career (about 1732)had performed 213 lateral lithotomies with a mortality of 5 per cent.: thisfavorable result was no doubt clue in part to the fact that a large numberof his patients were children, 105 of them being under ten years of modern operation of lateral lithotomy is performed as follows : A full-sized staff having a groove on one side is passed into the bladder, the patientlying on his back. Some operators prefer a staff with a groove in the middle,in which case the assistant who holds the staff should turn the shaft of theinstrument so as to bring the groove to the patients left side. The cutshould never be made until the stone at the time of the operation has beenfelt. by the operator, since instances have occurred through lack of this pre-caution of the bla
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
