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Updated: May 4, 2025
A Dutch blacksmith and a German cooper each performed lithotomy on themselves for the intense pain caused by a stone in the bladder. Tulpius, Walther, and the Ephemerides each report an instance of self-performed cystotomy. The following case is probably the only instance in which the patient, suffering from vesical calculus, tried to crush and break the stone himself.
But Franco possessed such skill as an operator, and appears to have been so earnest in the pursuit of what he considered a legitimate calling, that he finally overcame the popular prejudice and became one of the salaried surgeons of the republic of Bern. He was the first surgeon to perform the suprapubic lithotomy operation the removal of stone through the abdomen instead of through the perineum.
The examination made, and a stone detected, it may, if a very small one, be attempted to be pushed forward by means of a finger passed up the anus into the urethra; but, as this could be practicable only where the dog happened to be a large one, it is most probable that nothing short of the operation of lithotomy would succeed.
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