Memoir on the cutting gorget of Hawkins : (containing an account of an improvement on that instrument, and remarks on the lateral operation for the stone) / by Antonio Scarpa ; translated from the Italian, by James Briggs.

  • Scarpa, Antonio, 1752-1832.
Date:
1816
Catalogue details

Licence: Public Domain Mark

Credit: Memoir on the cutting gorget of Hawkins : (containing an account of an improvement on that instrument, and remarks on the lateral operation for the stone) / by Antonio Scarpa ; translated from the Italian, by James Briggs. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    does not divide it laterally, but rather at its upper part, towards the summit of the ramus of the ischium and the arch of the pubis ; an opening, of all others, in the perinaeum, the most confined, and presenting the greatest impediment to the pas- sage of the stone from the bladder. The breadth of the point of the director is, besides, so dispropor- tionate to the diameter of the membranous part of the urethra, that from the great resistance with which it meets, the instrument may easily slip from the groove of the staff, and pass between the bladder and rectum, a serious accident which has very often happened even in the hands of experienced surgeons. Several surgeons of eminence have, of late years, undertaken to modify the gorget of Hawkins, but their attempts have not been successful, in consequence, I believe, of their having neglected to determine the exact relation between the parts divided in the operation of Cheselden, and the eleva- tion and inclination given to the cutting edge of the instrument which they have attempted to