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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    ♦ [From the New York Medical Record, June 8th, 1878.] Rapid Litmotrity with Evacuation. To THE Editor of the Medical Record. An article by Dr. Keyes, in your last issue (May 18th), gives me occasion to call attention to one or two misapprehensions which pervade his allusions to “ Modern Lithotrity,” as he terms the new operation for stone. In this article, which is devoted mainly to a descrip- tion of the jaws of a lithotrite, the writer states that my lithotrite “must sometimes clog,” because “it is made on the principle of Reliquet’s.” He is mistaken. In the first place, Reliquet’s instrument is fenestrated: mine is not. In the second place, as an ascertained fact, my lithotrite does not impact. The male blade is furnished with lateral notches forming inclined planes by which the detritus is extruded right and left, except where a small portion at the heel is driven through a slot by an effective spur. Reliquet’s non-impacting lithotrite is identical with the obsolete fenestrated b7'’ise- pierre, with teeth in the opening below to insure pul- verization. Dr. Keyes proposes to remove these added teeth, and return to the brisepierre a mors fenetre [porte a faux) of Charriere. (Nouveau Diet, de Med. et de Chir., Paris, 1875, Tom. XX. p. 667.) In fact, he goes back to the flattened jaws of the “slightly indented and fenestrated or open female blade ” figured by Costello (Cycloped. of Pract. Surgery, London, 1861, Vol. III.