Clinical lectures on diseases of the urinary organs : delivered at the University College Hospital / by Henry Thompson.

  • Sir Henry Thompson, 1st Baronet
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Clinical lectures on diseases of the urinary organs : delivered at the University College Hospital / by Henry Thompson. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    anatomist, and here are others which, having been used by many celebrated operators, have fallen into my hands, and they are leading types of the instrument. In 1816, Dupuytren, of Paris, not being content with the lateral, introduced his bilateral operation. His object was to make the deep incision by a cut on each side of tbe pros- tate, instead of one large one on one side only. And he, with the same view of limiting accurately the extent of the wound, designed a special instrument for the purpose. This, the two-bladed lithotome, is also a member of the ancient surgical armamentarium, made more elegant and manageable by modern skill. Instead of making the internal incision by pushing a cutting blade inwards, as with the knife or gorget, you carry tbis instrument [showing it] into the bladder along the staff, there open its two concealed blades, and drawing it towards you, cut your way outwards. You can arrange the blades so as to have the incision as wide or as narrow as you please. In 1825 or 1830, the/'median operation, often loosely spoken of as a revived Marian operation, came into some note in this country, and with it Mr. Allarton's name is chiefly associated. In the meantime Civiale, in Paris, com- bined the median and bilateral operations, and you have seen me frequently perform both of them here. Then Nelaton has recently performed the pre-rectal operation, which is, after all, only a carefully disescted bilateral operation. I now come to the mode of performing the lateral and the medio-bilateral operations, and will give a few general hints which will apply equally to either. As I have said before, when we have to do with many details, let us try to revert to first principles, and define clearly the object we aim at. I told you that the object of lithotrity is to remove the