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In order to make the drift of this paper at once clear, I wish to state at the outset the conclusions I have reached by a study of the results of others in stone operations, and from the moderate experience I have had in these cases myself. Unfortunately, residence in a region where stone in the bladder is rather rare has made the accumulation of personal observations slow, but, on the other hand, my association with Dr. Bigelow has given me unusual advantages in getting an understanding of the operation which he devised and christened "litholapaxy," and of which I shall especially speak to-day.
In my opinion, we have in litholapaxy the operation of choice for the removal of most stones. While this is the rule, there are exceptions to it, and the varying conditions surrounding stone in the bladder, will now and then lead us to choose some other
CABOT AT. THE CHOICE OF OPERATION FOR STONE IN THE BLADDER. Read in the Section of Surgery and Anatomy, at the Fortieth Annual Meeting of the American Medical Association, June, 1889. JAMA. 1889;XIII(19):657–662. doi:10.1001/jama.1889.02401150007001a
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