Editorials and Medical Intelligence

1845 Boston Medical and Surgical Journal  
pared the patient for the operation, it was performed on the 8th of June last. The patient being secured in ihe usual way, the semi-lunar incision was made between the bulb of the urethra and anus, with its convexity to the scrotum, and down to the staff in the membranous portion of the urinary canal, through which it had been previously introduced into the bladder. To the groove of the staff thus exposed, was adapted the beak of a double lithotome, of a small size, which hail just been
more » ... l just been received from Charriere, of Paris. This instrument was introduced into the bladder, the one in the urethra withdrawn, the lithotome turned upon its own axis, so thai its concavity was towards the rectum, and its blades being expanded it was drawn out in lowering the handle. A gush of urine indicated the opening made in the bladder, through which the finger introduced felt ihe stone, which was extracted by a small pair of forceps. From some little delay in the seizing the calculus, and the alarm of the patient, the operation lasted twelve minutes. This little patient, like the others upon whom I had operated upon for stone by this mode, had a remarkably rapid recovery. The urine in a few hours passed per urethram, and all the dressing applied was a small strip of plaster over the wound in the perineum. No catheter was introduced during the treatment. He had a little fever for the first forty-eight hours after the operation. He sat up in bed on the fourth day, and on the eighth was considered well. He did not, however, recover the full tone and control of the bladder for some days afterwards. The calculus weighed about 3 iss., and was of the mulberry variety. Quarters of Surgeons' Mates.-By a recently promulgated order, Surgeons' Mates in the U. S. Navy, on board all national vessels, are entitled to mess and have quarters with ward room officers, and are to rereive the usual courtesies andceremonies of such officers. This is the reform we believe which has long been considered necessary, and which was contended for by a writer in this Journal some months ago. Heretofore, surgeons' males have been without a locality, on shipboard, which afforded much of comfort or convenience. Whatever their claims may have been on land, as gentlemen, when afloat all marked attention seems to have been abandoned, and they were in reality just nothing at all, compared with every other officer on board. Whether this order, emanating from the Secretary's office, actually remedies all the evils which they have complained of, we are unable to determine. One fact is certain, that thus far something has been effected that ameliorates their condition.
doi:10.1056/nejm184501150312405 fatcat:pqmiu2rwbfd5zhsiaijkty2yke