Litholapaxy; Or, Rapid Lithotrity with EvacuationWilliams, 1878 - 42 páginas |
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Página 3
... instruments . Later surgeons , perhaps influenced in part by his teaching , have continued to invest the operation of lithotrity with precautions which , though by no means groundless , because under certain condi- tions both the ...
... instruments . Later surgeons , perhaps influenced in part by his teaching , have continued to invest the operation of lithotrity with precautions which , though by no means groundless , because under certain condi- tions both the ...
Página 4
... average case damage to the mucous membrane is as likely to result from irritation by angular fragments , added to the injury inflicted by an opera- tion , as from the use of instruments protracted beyond 4 RAPID LITHOTRITY WITH EVACUATION .
... average case damage to the mucous membrane is as likely to result from irritation by angular fragments , added to the injury inflicted by an opera- tion , as from the use of instruments protracted beyond 4 RAPID LITHOTRITY WITH EVACUATION .
Página 5
... instruments has been confounded with that resulting from the presence of frag- ments in the bladder . That the ... instrument like that of Voillemier , for example ; so , too , by the recovery of these organs from the considerable ...
... instruments has been confounded with that resulting from the presence of frag- ments in the bladder . That the ... instrument like that of Voillemier , for example ; so , too , by the recovery of these organs from the considerable ...
Página 6
... instruments variously devised and modified ? The following quotations from the latest authorities sufficiently answer this question in the negative . " We may here say , without fear of being accused of exag- geration , that evacuating ...
... instruments variously devised and modified ? The following quotations from the latest authorities sufficiently answer this question in the negative . " We may here say , without fear of being accused of exag- geration , that evacuating ...
Página 7
... withdrawn with great force , a procedure not only useless , but detri- mental to the bladder , if inflamed and thickened . -- Before describing my own instruments , it may be well RAPID LITHOTRITY WITH EVACUATION . 7.
... withdrawn with great force , a procedure not only useless , but detri- mental to the bladder , if inflamed and thickened . -- Before describing my own instruments , it may be well RAPID LITHOTRITY WITH EVACUATION . 7.
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...