On the treatment of some forms of stone in the bladder by perinaeal lithotrity : with a description of the instruments used / by Reginald Harrison.

  • Harrison, Reginald, 1837-1908.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of some forms of stone in the bladder by perinaeal lithotrity : with a description of the instruments used / by Reginald Harrison. 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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    The chief features in connection with the operation I am about to describe are : (i) The mode of obtaining access to the interior of the bladder from the perinaeum ; and (2) The mechanism connected with crushing and evacuating the stone. From a number of experiments I made on the dead sub- ject as well as from the performance of median cystotomy on the living for various purposes, it seemed unnecessary to do more than to make an opening from the perinaeum into the membranous urethra at the apex of the prostate, on a grooved staff passed along the urethra, sufficient to admit the introduction of Wheelhouse's small tapering gorget, and subsequently the index finger into the bladder, as for digital exploration, or, as is done in the boutonniere or Cock's operation—more than this is not necessary. In Dolbeau's operation direct access to the bladder was ob- tained by this route, aided by the use of an expanding instrument by means of which the prostatic urethra and neck of the bladder were dilated. It seemed to me, from some experiments made on the cadaver, that the latter means of dilatation was not only unnecessary, but was open to the objection that unless used wi.th the greatest care, it was possible to inflict serious damage. Further, I succeeded in demonstrating that by means of crushing forceps, shaped somewhat like the blades of a lithotrite, and not exceeding by actual measurement in