Identifier: scienceartofsurg02fran (find matches)
Title: The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time ..
Year: 1867 (1860s)
Authors: Franklin, Edward Carroll, 1822-1885
Subjects: Homeopathic surgery
Publisher: St. Louis, Missouri Democrat Book and Job Print. Estab.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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on a firm mattress at a suita-ble height; the surgeon stands on the right side, with his facetoward the foot of the bed, and takes the penis between the mid-dle and ring fingers of his left hand, opening the meatus with thethumb and finger. With his right hand he now gently entersthe lithotrite, closed and well oiled, into the canal and slipsit gradually down, keeping the handle at first over the right iliacspine, then sweeping it around into the median line, and bring-ing the shaft perpendicular, until the point nears the prostate ;the handle is now depressed, to a degree proportioned to theenlargement of the prostate, over which the tip glides into thebladder. Once fairly in, by a rotary movement of the handle, thebeak of the instrument is made to fall over laterally, when, ifthe stone is touched, the male blade is withdrawn a little, so asto try to grasp the stone between it and the female blade. Fig.398. If this be accomplished, the instrument is turned back URINARY CALCULUS. 679
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Fi&- 398. again so as to bring the stone into the middle ofthe vesical cavity, and themale blade is screwedhome. This manoeuvreis repeated again andagain, until the time forthe sitting is exhausted.If at the first attemptthe stone is not felt, thebeak may be rotated soas to fall over to the otherside of the median line,and if this fail, a gentlebackward and forwardmotion may be made, Instrument crushing the stone inlithotrity. Still with the lateral half- turns, so as to explore thoroughly the bas-fond of the organ. It must never be forgotten that the male blade is the one to bemoved on the female ; that the crushing is to be done in the middleof the cavity; and that in effecting it the blades must always bebrought into contact. Fragments cannot be safely drawn throughthe urethra in the grasp of the instrument, although it has severaltimes been done with undeserved success. The instrument should be very lightly held in searching, veryfirmly and steadily in crushing. When symptoms

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