Case of the high operation of lithotomy : in which unusual difficulty was experienced in the extraction of the stone / by George Ballingall.

  • Ballingall, George, 1780-1855.
Date:
[1826]
Catalogue details

Licence: Public Domain Mark

Credit: Case of the high operation of lithotomy : in which unusual difficulty was experienced in the extraction of the stone / by George Ballingall. Source: Wellcome Collection.

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    Explanation of the Plates. Plate I. represents the wound in the anterior part of the blad¬ der ; the parts being suspended by the peritonaeum, the rec¬ ti and pyramidal muscles, with part of the ossa pubis, dis¬ sected oft' the forepart of the bladder, and turned down¬ wards. AAA, The point at which the peritonaeum is reflected over the fundus of the bladder. B, The opening into the bladder, measuring nearly two inches, and above which the stone was lodged. C, A probe passed through between the cervix vesicae.and rectum. D, The ossa pubis turned downwards. E, A probe passed through the incision in the linea alba, between the recti and pyramidal muscles. Plate II. Fig. 1. a lateral view of the parts, the bladder and rec¬ tum nearly in situ, after the peritonaeum had been dissected off. A, The upper part or fundus of the bladder in which the stone was lodged, covered with strong and powerful muscular fibres. B, The point mentioned in the report of the dissection, where an incipient organic contraction appeared to ex¬ ist. C, Part of the body and neck of the bladder; the limits of the wound being marked by two probes. D, The ureter. E, The rectum. F, The ossa pubis. G, The penis. Fig. 2. a small-sized sketch of the preparation referred to in Mr Russell’s letter. A, The stone, of an irregular hour-glass shape, with its cornua projecting into the ureters. B, The receptacle for the urine. C, The aperture in the fundus of the bladder, mentioned in the account of the case.