Litholapaxy / by Edward L. Keyes.

  • Keyes, E. L. (Edward Lawrence), 1843-1924.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Litholapaxy / by Edward L. Keyes. 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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    having drawn off the urine, thoroughly wash out the blad- der with a warm solution of borax. A little of this wash is left in the bladder and the crushing is then carried out ac- cording to ordinary rules, from six to twelve seizures being made in rapid succession until a fair amount of detritus has been created. Then the tube is introduced and the bladder washed so long as fragments continue to fall freely into the receiver, changing the position of the end of the tube in the bladder from time to time. The lithotrite is reintro- duced and the washing repeated until the bladder is empty of stone. A little fine dust may remain and come away during urination, or even a small fragment may be over- looked or left behind knowingly, rather than prolong the operation greatly; I will show you the reason for this by washing in a flask presently. A large fragment should not be left behind, a small one or several of them do not incon- venience the patient or interfere with his prompt recovery from the operation, and much unnecessary time may be consumed in attempting to get it out. [The lecturer now proceeded to demonstrate the opera- tive manoeuvres upon the cadaver and in glass flasks, pre- pared with a thin rubber cover over their mouths, tied tightly around the tubes so as to represent the contractile quality of the bladder as nearly as possible, and yet allow an inspection of the fragments as they were being washed out. All the various customary manoeuvres were shown and the different instruments tested.]