Litholapaxy; Or, Rapid Lithotrity with EvacuationWilliams, 1878 - 42 páginas |
Dentro del libro
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Página 6
... better to protract the operation indefinitely in point of time , if thus the whole stone can be removed without serious injury to the bladder . I believe that in any case as favorable to lithotrity as the average , in these days when ...
... better to protract the operation indefinitely in point of time , if thus the whole stone can be removed without serious injury to the bladder . I believe that in any case as favorable to lithotrity as the average , in these days when ...
Página 15
... better then to use the bulb as a handle to direct the silver tube , the interposed elastic saving the bladder needless fatigue . ( 5. ) Evacuation of the fragments . Evacuation of the frag- ments is quite an entertaining art , requiring ...
... better then to use the bulb as a handle to direct the silver tube , the interposed elastic saving the bladder needless fatigue . ( 5. ) Evacuation of the fragments . Evacuation of the frag- ments is quite an entertaining art , requiring ...
Página 17
... better accomplished by withdrawing the tube a little from the floor , with the hand supported on the pubes as in Fig . 4 . ( After a photograph from a frozen section , in which the rectum and the bladder were previously distended with ...
... better accomplished by withdrawing the tube a little from the floor , with the hand supported on the pubes as in Fig . 4 . ( After a photograph from a frozen section , in which the rectum and the bladder were previously distended with ...
Página 19
... better , if the instrument could be emptied at will in the bladder , especially if we distinctly recognize that what can be withdrawn in a lithotrite would come through a tube , and that the province of the lithotrite should be to pul ...
... better , if the instrument could be emptied at will in the bladder , especially if we distinctly recognize that what can be withdrawn in a lithotrite would come through a tube , and that the province of the lithotrite should be to pul ...
Página 36
... better done with a solid upper and lower jaw than when either of them is fenestrated . A non - impacting instrument is very desirable , but not at the sacrifice of efficient and rapid crushing , or with danger to the mucous membrane ...
... better done with a solid upper and lower jaw than when either of them is fenestrated . A non - impacting instrument is very desirable , but not at the sacrifice of efficient and rapid crushing , or with danger to the mucous membrane ...
Otras ediciones - Ver todas
Litholapaxy; Or, Rapid Lithotrity with Evacuation Henry Jacob Bigelow Sin vista previa disponible - 2015 |
Litholapaxy; Or, Rapid Lithotrity with Evacuation Henry Jacob Bigelow Sin vista previa disponible - 2016 |
Términos y frases comunes
31 Charrière admit advantage aspiration blad bottle bulb calculus calibre Clover's comminute common lithotrite complete evacuation compressed crushing curved tube Date of symptoms debris depresses the floor diameter discharged distended duration efficient elastic ether evacuating catheters evacuating tube extremity favorable female blade fenestrated instrument Figure frag frequent micturition glass trap hand heel hitherto hour impact inch inclined planes indenting the floor injected injury inner meatus instru introduced inverted jaws large lithotrite large tube laterally lithotomy lithotritist LITHOTRITY WITH EVACUATION lock male blade ment method minutes mucous membrane mucus non-fenestrated normal urethra obstruction ounces patient perinæum phosphatic position posterior wall prostate protracted pubes pulverize quantity removed RAPID LITHOTRITY readily rectum Reliquet's repel the bladder result rotation rubber tube scrotum side sigmoid flexure Single stone Sir Henry Thompson Sir James Paget stone is felt straight tube suction surgeon syringe thra tion triangular notches unguiform usual vesical withdrawal
Pasajes populares
Página 7 - Gross, Diseases, etc., of the Urinary Organs. Philadelphia, 1876. Page 232.) "Having used it [Clover's apparatus], very frequently, I would add that it is necessary to use all such apparatus with extreme gentleness, and I prefer to do without it, if possible.
Página 8 - ... ligament. Traction upon the penis next effaces this depression, and adds firmness to the urethral walls ; so that if the instrument be withdrawn a little, and...
Página 21 - ... upon it ; while the male blade, or stamp, offers a series of alternate triangular notches, by whose inclined planes the detritus escapes laterally after being crushed against the floor and rim of the shoe. At the heel of the shoe, where most of the stone is usually comminuted and where the impact is therefore greatest, the floor is high and discharges itself laterally, while its customary slot is made to work effectually
Página 4 - ... followed by other symptoms, such as tenderness in the region of the bladder, a quickened pulse, and the frequent and painful passage of urine. These symptoms may insidiously persist rather than abate. Others may supervene. The surgeon vainly waits for a favorable moment to repeat his operation ; it becomes too evident that the patient is seriously ill, and it is quite within the range of possibilities that in the course of days or weeks he may quietly succumb. An autopsy discloses a variety of...
Página 29 - Third sitting: interval, five days; duration, three and three-quarters hours, under ether; size of tube, thirty-one ; quantity removed, seven hundred and six grains ; no pain nor discomfort afterwards; total number of grains, after drying, one thousand eight hundred and two. Result : discharged, well, two weeks from the date of the first operation ; after a few weeks the patient could retain his water from three to four hours.
Página 40 - ... calculus, although not necessarily pulverized, is crushed as rapidly and completely as is practicable. The dust and fragments are immediately evacuated, and a serious source of irritation is thus removed. 2. This can be generally effected in a single operation. 3. The operation — performed of course under ether — may be, if necessary, of one or two hours
Página 3 - What human plan, device, or invention two hundred and seventy years old does not require reconsideration ? " he would no doubt have regarded with favor an occasional reconsideration of the theory and practice of medicine and surgery, — especially in view of the current belief that their traditions have been kept alive and their rules prescribed in part by authority.
Página 21 - I like the blades of this instrument nearly so well as those of the fenestrated lithotrites by Weiss and Thompson already described. " The blades of this lithotrite consist of a shoe, or female blade, the sides of which are so low that a fragment falls upon it ; while the male blade, or stamp, offers a series of alternate triangular notches by whose inclined planes the detritus escapes laterally after being crushed against the floor and rim of the shoe. At the heel of the shoe, where most of the...
Página 6 - My own conviction is that it is better to protract the operation indefinitely in point of time, if thus the whole stone can be removed Avithout serious injury to the bladder.
Página 4 - ... removal of the offending fragments as a last resource. But if at the first operation the bladder could have been completely disembarrassed of every particle of stone, even with the risk of irritating its lining membrane, we can hardly doubt that the relief would then have been followed by ready repair. In short, it is difficult to avoid the conviction that in an average case damage to the mucous membrane, and quite as great, is as likely to follow the persistent irritation by angular fragments...