The modern treatment of stone in the bladder by litholapaxy ... / by P.J. Freyer.
- Freyer, Peter J. (Peter Johnston), Sir, 1851-1921.
- Date:
- 1886
Licence: Public Domain Mark
Credit: The modern treatment of stone in the bladder by litholapaxy ... / by P.J. Freyer. Source: Wellcome Collection.
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![According to the above table, the mortality occurring actually in hospital amongst 2,592 lithotomy cases was about 1 in 9, or 11 per cent. There were, however, 51 cases discharged as “otherwise” than “cured,” relieved, or “died”; audit maybe presumed that these, or the great majority of them, were taken away by their friends in a moribund condition to die at home. If these be added to those dying in hospital, the total mortality will be about 13 per cent., or 1 in 8 nearly. I regret I am unable to give the statistics of mortality according to age. As the mortality from lithotomy increases in proportion with the age of the patients operated on, these would have the effect of bringing out more clearly the great diminution in mortahty from litholapaxy as compared with lithotomy. The only Administration Report which gives the statistics of mortality according to age is that for the N.-W. Provinces and Oudh. Taking the latest statistics for these Provinces (as being the most likely to be correct), those for 1883, we find that, amongst 987 casefe of lithotomy performed in that year, the mortality up to the age of 20 was 5T per cent., or nearly 1 in 20 ; between the ages of 20 and 40 years, 10’7 per cent., or .about 1 in 9‘5 ; and above 40 years, 31‘9 per cent., or nearly 1 in 3. The imjDression above referred to is, therefore, in- correct. The mortality of 1 in 8 nearly, or about 13 per cent., occurring amongst 2,592 lithotomy o]ierations performed in Indian hospitals in one year, on patients of all ages, is, practically, the same](https://iiif.wellcomecollection.org/image/b28710307_0078.jp2/full/800%2C/0/default.jpg)
