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January 17, 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

OF NEW ORLEANS, LA.

JAMA. 1885;IV(3):62-67. doi:10.1001/jama.1885.02390780006001a

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Abstract

[CONTINUED.]

The Lateral and Bilateral Cystotomy ("La Taille" of the French).—Some authors of to-day recognize only two main methods of cystotomy, I, the inferior C, where the membranous and prostatic portion of the urethra, with the neck of the bladder, are cut, and of which they cause two subdivisions, or, the lateral, and, the bilateral C; and, 2, the superior C, whilst the pærineal median and others are simply mentioned. Of all the different methods of cystotomy the lateral section is preferred by most surgeons, and most frequently performed since its introduction into England by Cheselden. So far it has also given the best results in children previous to puberty. The best advice in performing the operation is to keep the point of the knife high up, on account of the high position of the bladder, which, also, by being partially filled with warm water, will descend lower.

Concerning the

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