Practical observations on the lateral operation of lithotomy / [William Keith].

  • Keith, William, 1802 or 1803-1871
Date:
[1844]
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on the lateral operation of lithotomy / [William Keith]. Source: Wellcome Collection.

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    der, published in 1842. I trust enough is said to awaken an in¬ terest in the mind of every practical surgeon to the annexed com¬ munication, when he is reminded that the mean mortality in Eng¬ land il'one in seven and one-fifth ; and that in France, Dupuytren admits, thaF'bctwcen a fifth and a sixth of all who undergo the operation are lost; that in England, beyond the age of fifty, the rate of mortality rises to one in four or five, while in France, on the authority of the most eminent French surgeons, it reaches one in every two or three. I proceed, therefore, in accordance with the promise made in my last paper, to communicate and explain the principles that have guided me in practising the operation of lithotomy. In many particulars it will be found that I agree with the majority of the present English operating surgeons; in some points I differ; the latter only will call for special remark in passing. No claim is put in to originality in being the first to propose the mode of operation which I have so successfully practised and do so strongly recommend. I have borrowed ideas from every quarter, adopting what my judgment taught me was right in the practice of a variety of operators, and discarding what I_ thought wrong, and after all find that I make but a close approximation to one of the plans of operation as successfully prac¬ tised by the father of English surgery, Cheselden, 100 years ago, as by any one of his fickle successors. Encouraged in my conclusions by noticing the favourable results in the practice of one class of jithotomists and profitably warned by the disasters occurring in that of another, I am chiefly anxious to rivet attention on a few faxed principles, by acting out which other operators may, with certainty, calculate on results as fortunate as those above stated. My remarks wdt bring out what I wish to say more clearly by aiu of classification. I will therefore treat, first, of “the SSTinth Patlent,f°r ^h0tQ0my “**> °f instruments «7th of C1 ne Tatloni^ of the line of first Vision 4//, of the line of second incision f “ 5th, of the mode of entry “ 7// 10 r aC dTi mode of extracting the stone ‘r> a JKrsi t,r*ii» u ration.’’ ’ 8^. of the general treatment after the ope- tient to uLtnyP-TSl^3rs::r^ beff°re SUbjeCr.tin® 1 Pa' readv allnded ™u“!een» b? refemng to the tables al- In yo^ rabfe&TOTCaSe !n Previ0us Preparation, suffice; yet Tr ied olh n” ^ Very 'iU,e Preparation may of relief Tti] compelledTv r “ n° 0e SCeks Such a ™de ™,,. „„„ ™,d b,b'«„7'