A history of the high operation for the stone, by incision above the pubis : with observations on the advantages attending it : and an account of the various methods of lithotomy, from the earliest periods to the present time / by J.C. Carpue.

  • Carpue, J. C. (Joseph Constantine), 1764-1846.
Date:
1819
Catalogue details

Licence: Public Domain Mark

Credit: A history of the high operation for the stone, by incision above the pubis : with observations on the advantages attending it : and an account of the various methods of lithotomy, from the earliest periods to the present time / by J.C. Carpue. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    lity. I now placed a flexible gum catheter in the urethra. A great part of the urine passed by the wound ; but it must be recollected that this young lady was afflicted with the stone from her birth, and that the bladder, in consequence of its con- nexion with the stone, was of an irregular shape; part Of the internal coat of the bladder sloughed, which obstructed the passage of the urine through the tube of the catheter. I injected tepid water into the bladder j and I sometimes placed her in an upright position, and made her walk, which had the desired effect. The parts cicatrized, and the young lady received a complete cure. She had no incontinence of urine. M. Baseilhac re- marks, that in the year 1798 the young lady had no return of the complaint, and that at that pe- riod she was in perfect health. FRERE COME'S OPERATION OF LITHOTOMY IN FEMALES. If the stone is small there is no occasion for an operation, as the urethra may be distended by means of a spqnge4ent, when the stone may be extracted, If it is of the size of an almond with its shell, the neck of the bladder may be divided with the knife or bistouri-cachee, provided the opening is not more than five lines in breadth. Frere Come and M. Baseilhac invariably found, that when a larger incision was made, or where the parts were much dilated, there was an incontinence of urine, and therefore recom-