File:A hand-book of surgery- with fifty illustrations (1852) (14797685933).jpg

Identifier: handbookofsurger00neil (find matches)
Title: A hand-book of surgery: with fifty illustrations
Year: 1852 (1850s)
Authors: Neill, John, 1819-1880. (from old catalog) Smith, Francis Gurney, 1818-1878, (from old catalog) joint author
Subjects: Surgery
Publisher: Philadelphia, Blanchard and Lea
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
the other, the extremities being slightly bent. It can be introducedinto the bladder as a sound or catheter, and afterwards the bladesare separated, to grasp the stone. In the original instrument themale blade was struck with a hammer, and thus the stone wasbroken; now the crushing power is that of a screw, variouslyadapted,—that of Mr. Weiss being most simple and perfect. The extremities of the instrument have teeth, so as to retain the stone when grasped, andFig. 27. also fenestrge to allow of the escape of sand or pow-dered stone. The patient must be pre-viously prepared for theoperation, by regulation ofthe general health, dilata-tion of the urethra, anddistension of the bladder.The patient lies on a con-venient table or bed, withthe pelvis elevated, so as tothrow the stone into the
Text Appearing After Image:
GONORRHCEA. 93 fundus of tlie bladder; the bladder must be full, so as to preventits coats from being entangled in the instrument. If urine cannotbe retained, tepid water must be injected. The instrument mustbe oiled and warm. After encountering the stone and fairly grasping it, an operationwhich requires tact in manipulation, the stone is crushed by slowlyand gradually turning the screw. Then the instrument should bewithdrawn, and when the irritation has subsided, subsequently in-troduced to crush the fragments. Thus many operations may berequired to reduce the stone into fragments sufficiently small to passthe urethra. It is not to be expected that fragments will escape at the firsturination: the after treatment should consist of diluent drinks, andbland injections to accelerate their passage; and it may be that thehip-bath, anodyne enemata, and leeches, will be required. Thesources of danger are the irritability of the bladder, and urethra;inflammation often resulting from the irre

Note About Images