Report of twenty-five cases of urinary calculus, in twenty-three of which the bi-lateral operation was performed / by Paul F. Eve.

  • Eve, Paul F.
Date:
[1852]
Catalogue details

Licence: Public Domain Mark

Credit: Report of twenty-five cases of urinary calculus, in twenty-three of which the bi-lateral operation was performed / by Paul F. Eve. Source: Wellcome Collection.

    4/18 (page 44)
    laboured under symptoms of stone for several years. The operation was the bi-lateral. The patient refused to inhale ether or to submit to the continuance of the operation after it was commenced. It was nevertheless performed, and a small oxalate of lime calculus extracted, weighing only forty-seven grains. The urine resumed its natural course on the eleventh day after the operation, and the patient soon fully recovered. He is now a worthy member of the profession. Besides operating in this case against the will of the patient, there waa another peculiarity. Sounding just preceding its performance by several pre¬ sent, did not reveal the presence of the stone. Having gone the distance of about a hundred and fifty miles, and being confident I had recognized its presence in the bladder a week before, I ventured under the circumstances to attempt its removal, and fortunately succeeded, notwithstanding its very diminutive size. Case YIII.—This, too, was a patient twenty years old, having had symp¬ toms of stone from his early youth. Mr. C-lived in He Kalb County, Georgia, and was cut with the double lithotome in October, 1847. A large mulberry calculus, weighing over an ounce, was broken into two pieces in its extraction. Its outer layer is phosphate of lime. The patient had a speedy recovery. I have performed lithotomy seventeen times within the past four years upon patients under the influence of chloroform; in none did it exercise other than good effects. I may have been the first to operate for stone in the United States upon a patient under this anaesthetic agent. In all the follow¬ ing cases chloroform was alone used, and this bi-lateral operation performed. Case IX.—Master G-, five years old, has suffered symptoms of cal¬ culus for the past four. Pie resides in Edgefield District, South Carolina, and was operated upon in March, 1848. The urine commenced to flow naturally on the second day after the operation, the wound healed rapidly, and the boy was well in a few days. The size of the stone accurately measured is one and a quarter inches and fifteen sixteenths of an inch in its diameters, but it is light, weighing only three drachms. It is the ammoniaco-magnesian phos¬ phate. CxVSE X.—Master P-, a boy five and a half years old, came from the same neighbourhood of the one above, and was cut in May, 1848. He was a seven months child; his mother during gestation had been ill with fever; he was altogether quite puny for his age. Difficult urination occurred from infancy. A calculus, composed as the one above, in weight two drachms and four grains, was removed. On the ninth day the urine resumed altogether its natural channel, and the patient was out in the streets in less than two weeks. Case XI.—This is the most interesting and satisfactory of all my cases. One hundred and seventeen calculi were taken from this patient. Mr. O’Bannon, then about fifty years old, lived in South Carolina; had been injured twenty-four years and four months before being operated, upon, by a piece of timber in falling striking his spine; soon after this he experienced