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In another case by the same author, coitus in a sitting posture produced a rupture of the posterior fornix, involving the peritoneum; although the patient lost much blood, she finally recovered. In a third instance, a young girl, whose lover had violent connection with her while she was in an exaggerated lithotomy position, suffered a large tear of the right vaginal wall.
If it cannot be so moved, it may be cut down upon and removed with safety; but when one or more stones are within the bladder, we must attempt lithotomy, after having fully satisfied ourselves of their existence there by the introduction of the sound; to do which it must be remembered that the urethra of the dog in passing the bladder proceeds nearly in a direct line backwards, and then, making an acute angle, it passes again forwards to the bladder.
The wound is then to be treated like other wounds. It should be remarked, however, that if the stone is very large, it should be simply pushed up to the fundus of the bladder and left there, and no effort should be made to extract it." This description of the diagnosis of stone and of the operation of lithotomy is copied almost literally from Roger of Parma.
A. O'Leary, Jefferson Medical College, of Philadelphia, says: "The best things in the healing art have been done by those who never had a diploma the first Caesarian section, lithotomy, the use of cinchona, of ether as an anaesthetic, the treatment of the air passages by inhalation, the water cure and medicated baths, electricity as a healing agent, and magnetism, faith cure, mind cure, etc."
He soon obtained an excellent practice in medicine, and was noted for his skill in surgery, performing nearly all the operations in that part of the country, among them tractreotomy, or opening the windpipe and extracting foreign matter from it, and difficult cases of lithotomy. In 1860, Mr. Haldeman, in connection with Messrs.
Of course, under such circumstances, the departments of surgery and pharmacy received many improvements, and produced many able men. Among these improvements may be mentioned new operations, for lithotomy, instruments for crushing calculi, for reducing dislocations, etc.
This saw is an old invention, perhaps as old as Hippocrates, and may be seen figured in the "Armamentarium Chirurgicum" of Scultetus, or in the Works of Ambroise Pare. Dr. Clark is said to have received a diploma before he came, for skill in lithotomy. He loved horses, as a good many doctors do, and left a good property, as they all ought to do.
Such work is performed in almost every country town, and the amount of human life thus rescued from impending death is very great. The work of lithotomy is not any longer regarded with the dread which formerly attended it. In fact, every kind of disease and injury which in its own nature is subject to surgical remedy has been disarmed of its terror.
"And that is better still; for garrulous patients are ill to cure, especially in fever; I say, then, that Eristratus gave us the cerebral nerves and the milk vessels; nay, more, he was the inventor of lithotomy, whatever you may say. Then came another whom I forget; you do somewhat perturb me with your petty exceptions.
Not less than fifty chapters are devoted to a comparatively full discussion of wounds, fractures and dislocations, lithotomy, herniotomy, fistulae and the various diseases on the border line between medicine and surgery. Not a single surgical writer, however, is quoted by name.
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