A case of encysted vesical calculus of unusually large size removed by supra-pubic cystotomy / by Walter Rivington.

  • Rivington, Walter, 1835-1897
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: A case of encysted vesical calculus of unusually large size removed by supra-pubic cystotomy / by Walter Rivington. 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.

    8/18 (page 6)
    SUPRA-PUBIC CYSTOTOMY. substituted. Most of tlie urine came away below, but occasionally some would well up behind the pubes. Patient was no longer delirious. His temperature was normal and his pulse 80. One of the ligatures came away in the silver tube with some thick matter and slough. 16th.—Patient slept seven and a half hours last night; thirty ounces of urine collected in the night, sixty ounces altogether in the twenty-four hours. A long slough in the tube. 19th.—Yery restless. Has had very little sleep. Tube got blocked up with slough or membrane, and the urine ran over the pubes. The tube was taken out and cleansed. A soft flexible catheter was introduced above the pubes and withdrew a large quantity of foul urine. Great pain in right lumbar region. Temperature lOl'S*^. I had to make an opening in the scrotum for di-ainage as a pouch had foi'med there containing urine. 20th.—Much better. Temperature normal. Pain abated. Tongue clean. Pulse 80. Being very anxious to be allowed to be out of bed, and confident that he would benefit by the change, he was placed in a chair and wheeled about for half an hour or an hour. April 1st.—Since the last note he had been going on well, passing a fair amount of water by the tube. The anterior wound was gradually closing, and was syringed out daily with thymol solution. The bladder was also washed out, the solution running freely through the peri- neal tube. He slept fairly well. His appetite had improved and he took meat and potatoes. On the ] 7th the house surgeon, who with Mr. Haj'-nes, the dresser, had been very attentive to the patient, finding that the abdominal wound had closed over the aperture leading to the bladder, withdrew the perineal tube. I had intended retaining the tube till the wound had soundly healed, but when I saw the patient in the afternoon the perineal opening had conti'acted so much that I could not have reintroduced the tube without placing the patient under an ana3sthetic, and, as I thought