Ten cases of litholapaxy / by William Warren Greene.

  • Greene, Wm. Warren (William Warren), 1831-1881.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Ten cases of litholapaxy / by William Warren Greene. 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.

    6/18 (page 2)
    For it he deserves hearty congratulation and unstinted praise. Although every one conversant with the current sur- gical literature is familiar with litholapaxy theoret- ically, and quite a number of cases have been reported in the journals, yet the statistics of the operation are at present too meagre for satisfactory or accurate con- clusions with regard to many points, and the publica- tion of all new cases is very desirable. It is therefore merely to give additional testimony with reference to the new method of dealing with vesical calculus that I offer the following report: — Case I. John A., Scotch, aged fifty-two, farmer. Had suffered from the ordinary symptoms of stone for four or five years. Had passed “ gravel stones ” at different times. Urine alkaline, and contained a large amount of muco-pus and some blood. The sound re- vealed a rough stone at the has fond of bladder. Urethra normal. Capacity, as shown by the urethra- meter, thirty millimetres. Lithotomy had been advised one year before, hut he shrank from “ cutting.” He was etherized, and I proceeded to lithotrize and evacuate. The stone was seized quite readily, and proved to be moderately soft. I used No. 29 (Charriere^) evacuating tube, which passed readily after slitting the external meatus. At the end of one hour and fifty minutes the fragments ceased falling into the reservoir, and I could detect none in the bladder. No shock of consequence, and three weeks subsequently the patient reported himself, by letter, as well. Weight of fragments, 250 grains. Case II. J. F. D., Irish, aged sixty-one, laborei'. Had suffered from severe cystitis for over two years. Frequent and painful urination, with intermittent stream of small size ; urine offensive, alkaline, and cloudy, with pus. Pain in glans penis and testicles frequent, as was 1 All the numbers given in this article refer to the French scale of measurement.