Modern surgery, general and operative (1914) (14779482441)

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons



Text Appearing Before Image:
Fig. 887.—Bigelowslithotrite. Fig. 888.—Thompsonshthotrite. Fig. 889.—Forbess litho-trite. the handle being gradually raised to a vertical position as the penis is drawnup on the shaft, but not being depressed until the instrument has passedby its own weight into the prostatic urethra. Thompsons plan for catchingthe stone is as follows: After introducing the lithotrite, let its lower end rest fora few seconds on the bottom of the bladder, so that currents will subside; thendraw back the male blade, wait a moment, close the blades, and in almost every Litholapaxy 1335
Text Appearing After Image:
Fig. 890.—Bigelows latest evacuator. instance the stone will be caught. If the stone is caught, press firmly to seethat the calculus is well held, lock the instrument, and break tbe foreign bodyby screwing. WTien resistance suddenly ceases the stone has either slipped orhas been crushed; if crushed, the bladesshould have been felt forcing through thestone and the calculus should have beenheard to break. WTien resistance ceasescatch and crush again as above directed.Rapid movements T\ath the lithotrite areimproper, as they estabhsh currents whichare apt to push away the stone. If theabove maneuver does not catch the stone,see if the calculus be near the neck of thebladder. Pull the instrument close to thevesical neck, and open it, not by pulhngthe male blade, but by pushing the femaleblade. If the operator still fails to catchthe stone, or if, after crushing, a large frag-ment knocks against the evacuator, whichfragment cannot pass, conduct a carefulsearch: turn the blades to the rig