Volume 8

Contributions to surgery and medicine / by H.O. Thomas.

  • Hugh Owen Thomas
Date:
1881-1890
Catalogue details

Licence: Public Domain Mark

Credit: Contributions to surgery and medicine / by H.O. Thomas. Source: Wellcome Collection.

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    Med K27344 u-3u-S A NEW LITHOTOMY OPERATION. Many modifications of the old lateral operation of lithotomy, have been introduced into surgery during the last century, mostly devised to minimize its dangers, as well as to lessen the amount of manual dexterity required for the successful performance of this operation. I have operated, up to this date, upon thirty cases, not an extensive experience it is true, but this number affords the practitioner a fair opportunity ot becoming familiar with its details. The first case operated upon, the ordinary curved staff with lateral groove was used, the incision and pene- tration were performed with an ordinary scalpel. The case was a success, but on cogitation it appeared to me an unsatisfactory manner of incising the bladder for the removal of stone, too much being left to the surgeon’s skill. On reviewing the various methods, Civiale’s medio-bilateral operation appeared to possess an important advantage, as it afforded a larger incision within a small area, on entering the bladder, consequently causing less in- using his curved median staff and double-bladed bistoury. These two cases were also successful, but there was secondary haemorrhage in both instances, this mode of operation appears to be safer and simpler on paper than in practice. * My next change of tactics occurred when Mr. Hutchinson published his * The instruments, as shown in the illustrations, were mad; and excellently finished for me by Messrs. Khrone,&Co., London. The angular gorgets (four sizes) being made to suit the probable extent of incision, and the stall (three sizes) suitable for varying ages. [Part viii.]