On the treatment of stone in the bladder by medical and mechanical means / by R. Willis.

Date:
1842
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of stone in the bladder by medical and mechanical means / by R. Willis. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    patients who underwent the operation of lithotomy (after having been vainly essayed by lithotrity), so that, say the Reporters, “ we should have remained in complete ignorance of the fate of these individuals had we not seen the movement of the Hospital, which M. the Controller was obliging enough to lay before us. We find,” continue the Reporters, “ that twenty- four patients (not sixteen, as stated in M. Civiale’s compte-rendu) had undergone the operation of li- thotrity or lithotomy. Of these twenty-four pa- tients, of whom six were cut, [after lithotrity had been essayed in vain,] eleven died more or less im- mediately after the operation.” Eleven deaths in twenty-four cases immediately after the operation ! Verily there is little to boast of here, and w£ can al- ready afford M. Civiale “ seven deaths in 307 cases !” and yet find four at our disposal to carry to the next account. Let us go on to public document the second. This is a report to the Royal Academy of Sciences presented by Messrs. Boyer, Double, and Larrey, upon the operations performed at the Hopital Necker during the years 1831 and 1832. “ Fifty- three patients affected with calculus were received at the hospital. Of this number twenty-seven treat- ed by lithotrity were discharged completely cured ; sixteen having had various attempts at lithotrity made upon them, the operation was definitively found impossible, or useless, or it proved fatal. Of these sixteen ten died and six remained unrelieved. Eight other patients were subjected to attempts at lithotrity and then to lithotomy ; of these five died
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