Stone in the bladder : lithotomy in the infant and the child ; crushing the stone in the adult and old, with the application of lithotomy to each, in certain cases, practically considered / by Richard G. Butcher.

  • Butcher, Richard G. H., 1819-1891.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: Stone in the bladder : lithotomy in the infant and the child ; crushing the stone in the adult and old, with the application of lithotomy to each, in certain cases, practically considered / by Richard G. Butcher. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    33/64 (page 29)
    restricted him in the act, and so he was enabled to retain some. I then gently introduced a catheter, and threw in from three to four ounces of warm water, to allay u-ritability and float, as it were, the broken fragments from the coats of the sensitive viscus. The pillow was removed from beneath the hips, and the patient directed to lie quietly on his back, a large pilloAV being placed beneath the hams, so as to flex the thighs. In half an hour after a full opiate Avas given. Visited at 4 p.m.; had some sleep; no pain; pulse a little accelerated; skin hot. Ordered a diaphoretic mixture, and diluents freely. He made water, and passed several fragments of lithic acid stone, varying in size from a grain of wheat to three times that bulk, besides a quantity of detritus. Ordered to be constantly stuped over pubis, genital organs, and perineum; opiate at night. March 1st, 9 a.m.—Had a quiet night's refreshing sleep; pulse soft and 78; skin moist; passed water three times in the night and once this morning; several large pieces of stone came away, lithic acid, with some coating of phosphatic deposits, together with detritus; to continue diaphoretic mixture, stupes,opiate. 6 p.m.— Passed two very large pieces of stone; a third was stuck in the urethra, about four inches from the orifice; the pain was so great that I was sent for. With a long narrow forceps, after a little gentle handling, I got out safely the piece, without laceration; opiate at night, and constant stupes. March 2nd.—A large quantity of detritus passed, and three small very irregular sharp pieces. On the 4th the bladder was so quiet, so free from irritation, that I again introduced the fenestrated lithotrite, and broke up two considerable pieces without pain or suiFering, or any appear- ance of blood. Three hours later he passed a copious supply of water, being far better able to retain it, and with the full stream a considerable quantity of detritus. During the next two days he passed occasionally some detritus. On the 7th I was agreeably made aware that he only passed water once from the night previous, that it flowed in a copious stream, without the slightest straining, uneasiness, or check of any kind, and with not a particle of detritus in it. The gentleman was up now and walking about, and so he continued for two days, when I submitted him to a searching examination, lest a fragment might have been left behind. Directions were given that the urine should be retained from two to three hours. When I passed a scoop lithotrite with a slender