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January 10, 1885

FRAGMENTARY COMMENTS ON SOME OF THE PRINCIPAL METHODS OF OPERATION FOR "STONE IN THE BLADDER.": With Special Reference to Allarton's Method, Also in Combination with Lithotripsy, Urethro-Lithotripsy, Urethrotomia Lithotriptica, Including Besides Critical Remarks Upon the Discussion of the Progress Made in Lithotripsy and "Lithotomy" at the Late International Medical Congress held in London, England, and divers other subjects comprising the Urinary Organs.

Author Affiliations


JAMA. 1885;IV(2):34-42. doi:10.1001/jama.1885.02390770006001b


The high recommendation of litholopaxy was no doubt also influenced by "avoiding the bloody knife, "though we have seen that even Sir H. Thompson recommended a combination of the two methods, "lithotripsy and lithotomy," neutralizing thereby the highly praised distinction and benefit attained by the exclusive adoption of litholopaxy.

How different all of this becomes in selecting the operative methods of Allarton, in the inestimable boon of which method the risk of the so much feared "bloody knife" is reduced to a mere myth, in which the bladder is secured to remain even more intact than in Bigelow's litholopaxy, and with which it shares all the benefits if combined with lithotripsy! Well may we say that by the nearer and better access to the calculus, by its total removal, either entire or in combination with lithotripsy, of even the largest calculi with the more complete, surer and quicker withdrawal