Lectures on the American eclectic system of surgery (1866) (14776492825)

Lithotriptor with loop for holding the stone and crank for crushing it

Identifier: lecturesonameric1866hill (find matches)

Title: Lectures on the American eclectic system of surgery

Year: 1866 (1860s)

Authors: Hill, Benjamin L. (Benjamin Lord), 1813-1871 Scudder, John M. (John Milton), 1829-1894, ed

Subjects: Surgery, Eclectic General Surgery

Publisher: Cincinnati : Scudder and McCarthy

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

to any portion of the bladder. The best prospect of success in the use of the lithontriptor iswhen the urethra and bladder being sound, the prostate in anatural condition, and the patient an adult, the stone is both 766 OPERATIONS ABOUT THE PUBIC REGION. small and soft. If any of these conditions are wanting, lithot-omy is the only resort. Children are, of course, excluded fromthe list of cases for lithontripsy, by the narrowness of theirurethra. For the Operation op Lithontripsy, The patient is placed on a table covered with quilts; the hipsare elevated so as to throw the stone back from the mouth ofthe urethra, and the bladder, if not already full of urine, is tobe nearly filled with tepid water, injected through a catheter.The urethra must have been previously dilated by the repeateduse of bougies, increasing the size, from time to time, for aweek or more, until the litkontriptor will enter. This intrument(Fig. 141) is then warmed, oiled, and passed in, closed up, as a Fig. 141 .*

Text Appearing After Image:

common sound or bougie. When it comes in contact with thestone, the movable half is pushed in so as to open the blades atthe joints, and form a sort of firm loop or noose. Rotate thisfrom side to side, and tighten a little occasionally, so as to graspthe stone whenever it gets into the loop. As soon as it is fixedbetween the blades, as represented in the above drawing, whichwill be known by your inability to draw the sliding half back,turn gradually upon the arms of the screw, which slowly, butwith great force, draws out the slide, and brings the bladestogether. When the stone gives way, and the instrument closes,re-open it and maneuver as before to catch any large fragmentsthat may remain; continue this until all are finely crushed;then withdraw the instrument, and let the patient turn over *Drawn and engraved by G. K. Stillman, from the instrument as manufac-tured by Mas. Wocher, both of this city. LITHOTOMY. 767 with his face downwards, and evacuate the fluid from the blad-der as f

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1866

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