The Saint Louis Medical And Surgical Journal Semi Monthly Vol 38 PDF Download

Excerpt from The Saint Louis Medical and Surgical Journal, Vol. 38: Semi-Monthly; April 5, 1880 The state of the urinary passages, so far as relates to size and irritability, is an important element in the choice between lith otomy and lithotrity. In order that any patient may avail him self ofa capital operation, he must be free from certain organic affections, notably cancer, aneurism, bright's disease and strue tural derangements of the heart and lungs. Granting that he is free from such disorders, the size of the stone and its hardness or softness must be determined. Ifa stone is neither very hard nor very large, or what amounts to the same thing as being very large, the presence of multiple calculi, and the patient's uri nary passages are of such a size as to admit a lithotrite with ease, and not so irritable, but that the crushing instrument may remain Within the vesical cavity for a few moments at a time, the case is one susceptible of relief by lithotrity, it matters not the age of the patient nor the composition of the stone. In the. Majority of cases, patients suffering from stone are free from all other affections; the urinary passages are sufficiently large and there is nothing in the character of the calculus to prevent the use of the lithotrite except the presence of such an extreme degree of irritability, that they cannot bear the slightest in struniental interference. In such patients, lithotomy is often resorted to, when byjust rights the patient is one who should have been relieved by lithotrity. Since morbid irritability of the urinary passages is the only impediment in the path ofthe lithotritist in these cases, and especially since I have recently been compelled to contend with this obstacle in a number of instances, I desire to call the attention of the members ot'this Association to the measures which have rewarded my labors with success. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.