Litholapaxy or rapid lithotrity with evacuation / by Henry J. Bigelow.

  • Bigelow, Henry Jacob, 1818-1890.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Litholapaxy or rapid lithotrity with evacuation / by Henry J. Bigelow. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    iil)ly below it. The exhaust then acts as a siphon, and readily draws off the water. The fragments gravitate to the bottom of the bulb, and are there Fig, i. collected in a glass chamber. (See Figures 1, 4, 5.) To prevent the j)0ssihle return to the bladder of some sinule fragment while on its way to this receptacle, the rubber tube, if long, should be provided with a small glass trap containing a wire-gauze or perforated tube, to deliver the current and strain it on its return, but with a short rubber tubfi (Figs. 1, 4, 5), which is more convenient, this is not essential. One or two smaller bulbs might perhaps be jA'ovided for a contracted bladder. The successful evacuation of the bladder depends upon several con- ditions, both in the apparatus and in its use, which for distinctness may be enumerated separately. (1.) A largn calibre of the evac- uating tube. ( 2.) Its shape. (3.) The shape of its receiving straight evacuating tube, which is pref- extremitv emble to the curved one. 6. Front view , of same. 6. Glass receptacle witii bayonet (I*) Alanipulation of thebuXb. joint for debris. (Tiemann & Co., N. Y.) ( 5.) Evacuation of the fragments. ( 6.) Immediate recognition and removal of any obstruction in the tube. (Fig 1.) Evacuating Apparatus. 1. Elastic bulb. 2. Curved rubber tube. 3. Curved evacuating tube of silver. 4. (1.) A large calibre of the evacuating tube. Whether or not we adopt the view of Otis, that the average capacity of the normal urethra is at about 33 of Charriere, there can be no question tluit it will jidmit a much larger tube than that com- monly attached to either Clover’s or the French ajtparatus. J he efficiency of the process of evacuation de])ends much njion using the largest tube the urethra will admit. This fact has