A new lithotomy operation / by Hugh Owen Thomas.

  • Thomas, Hugh Owen, 1834-1891
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: A new lithotomy operation / by Hugh Owen Thomas. Source: Wellcome Collection.

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    Dr. Buchanan's rectangular staff (how I was ever so obtuse as to use a curved staff I cannot explain); Hutchinson's median groove; Civiale's bilateral incision; Corbett's double staff; these I combined, with a small contribution by Thomas, so that I believe the method I am about to describe can be performed with but little risk to the patient, requiring less manual dexterity on the part of the surgeon than any other method. From the moment of incising the skin of the perineum opening to the bladder, there is no interruption or change of instruments, the only merit of the old lateral operation. In my earlier experience of the medio-bilateral operation, I noticed that—though my cases always did well, losing only two out of thirty, one a child nine months, and an adult of sixty-four—secondary haemorrhage occurred out of proportion to the number of cases operated upon; but, as—in my opinion—I perfected the means for, and the manner of operating, I no longer noticed any cases of secondary haemorrhage ; indeed, the majority of those treated in later years were almost bloodless. 6 c h c h Fig. I. Fig- 2. Fig. i. is an illustration of the urethral and extra- urethral staffs disconnected from each other by means of a hinge b. The urethral staff is hollow up to the right