On litholapaxy / by Robert F. Weir.

  • Weir, Robert F. (Robert Fulton), 1838-1927.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: On litholapaxy / by Robert F. Weir. 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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    ON LITHONAPAXY-. BY ROBERT F. WEIR, M. D., Surgeon to the New York and Koosevelt Hospitals, Lecturer on Genito-Urinary Diseases at the College of Physicians and Surgeons, N. Y. (Reprinted from the American Journal of Medical Sciences, Jan., 1880.) ♦ The operation of crushing a vesical calculus in situ and aspirating all the fragments in one sitting, as published by Bigelow in the pages of this Journal less than two years since,* has probably more than realized the expecta- tions of its inventor, for since its promulgation to the profession this method of removing stone has been resorted to some seveiity-sevenf times, and the testimony thus accumulated has sustained the claims made for it. Bigelow, however, is somewhat in error in stating that the comparative harmlessness of long sittings was unsuspected until the publication of his paper, for not only had Amussat resorted to the immediate removal of stone from the bladder by the use of instruments so large as to compel the division of the meatus urinarius, J but also Leroy d’Etiolles accomplished the same thing in the very way that Thompson now does, i. e., by the use of multiple litho- trites ; and, more pertinent still, so did Heurteloup, who in 1846 published an account^ of sixty-nine cases in which vesical calculi were removed in a single sitting, with but three deaths—two of which were due to coincident disease of the kidney, and one from cerebral apoplexy. The last-named surgeon said of his operation, with justifiable complacency, “ that whatever might be the fatigue (ether then not being known) which some of his patients had experienced, he had never found that it was regret- ted and also speaking later, almost prophetically, “ that the reduction in powder of vesical calculi being capable of being done in a short time, lithotrity will find in ether and chloroform,|| and especially in chloroform. * January, 1878. t Bigelow 21 Van Biu-eu and Keyes 19 Thompson 13 Curtis 3 Cadge 5 Teevan 1 Harrison 1 J. C. Warren 1 Coulson 1 65 Included in this article 12 t Amussat in one case introduced an instrument, size 3t filiere, Gaz. des H6p., 1856. § Lithotripsie sans fragments au moyeu des deux precedes de rextraction immediate ou de la pulverisatiou immediate des pierres vesicales, etc., 1848. This pamphlet has, I notice, also been quoted by Gouley in the Medical Record, Oct. 16, 1879. II Gaz. Med. de Paris, 1848, p. 173.