On some points in the surgery of the urinary organs / by Reginald Harrison.

  • Reginald Harrison
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On some points in the surgery of the urinary organs / by Reginald Harrison. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    used temporarily by some surgeons after lithotomy, and some care is required in fitting them to each case [Mr. Harrison shewed some specimens of his drainage tubes]. By their use, with the exception, perhaps, of the first few days after the operation, when some urine may escape by the side, I have been able to keep patients absolutely dry during the whole process of treatment, whilst at the same time, antiseptic dressings have been applied to the perinseum, but I do not attach much importance to the latter, so long as the urine drainage is perfect. Let me illustrate this practice by another case of somewhat recent date. It was that of a gentleman seventy years of age, who for over four years had never passed one drop of urine except through a catheter, and who for the last two years of this period had absolutely lived with the instrument in his bladder, both day and night. I examined him in October last, and found that he had a stone in his bladder, but one that I could have quite easily removed by crushing and aspiration. However, in the presence of the symptoms mentioned, and guided by other experience of the kind to which I have referred, I selected to perforin perineal lithotomy, and to drain. My colleague, Mr. Mitchell Banks, held the staff for me, and I removed three uric acid calculi of moderate size, coated with phosphates. I made, as I usually do, a very free opening into the neck of the bladder, and put in one of my largest- sized drainage tubes, with two or three superficial sutures in the wound to keep it in position. He was
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