[1] I allude to Mr. Martineau’s and Mr. Barlow’s papers on Lithotomy.
[2] Deschamps—page 102.
[3] Deschamps—page 104.
[4] Deschamps—page 109.
[5] Douglas’s Appendix—page 12.
[6] Deschamps—page 106.
[7] Page 107.
[8] Cheselden’s Anatomy—page 330.
[9] Bell’s Surgery—page 173.
[10] Sharp’s Surgery.
[11] The late Mr. Dease was so impressed with the hazard of passing a
cutting instrument along the curve of the staff, that he used to withdraw
the staff, after he had opened the urethra, and passing a director
through the opening into the bladder, dilated the cervix vesicæ, by
introducing the Gorget in the usual manner.
[12] Mr. Martineau’s Gorget is merely used as a director to convey the
forceps into the bladder; its edges are blunt, and therefore it does not
aid in the division of the prostate, which has been already divided by
the knife, as a reference to his operation will shew. He had the kindness
to send me a model of his Gorget, for which, and his politeness in his
communication to me on the subject, I take this opportunity of expressing
my thanks.
[13] I should not omit to mention that I did not adopt this alteration in
the instruments, without having first operated at the hospital, both with
the Cutting-Gorget, and also with the beaked knife, in conjunction with
the common staff. I was not led to lay them aside by the issue of the
cases, as they were successful; but the difficulty and hazard attending
their introduction, together with the general unsuccessful issue of
Gorget operations, compared with Cheselden’s method, induced me to use a
more simple form of instruments.
[14] See Plate 2.