LITHOLAPAXY IN INDIA. The
operation
of
for the treat-
litholapaxy
of stone in adults, lias, within the past few years, been practised with such remarkable sucment
cess
that it has
now
ordinary operation
come to
be
for stone in
regarded as adults; and
the the
time should not be very far distant when it will come in India to supersede lithotomy almost
Freyer and Keegan have abundantly demonstrated, through our pages, the
completely.
Drs.
lessened risks and obvious method
over
those of
advantages of such a cutting operation, and
a
results have attracted wellmerited attention abroad. In the March number of the Indian Medical their excellent
Gazette of last year, Dr. P. J. Freyer published series of 57 litholapaxies performed during
a
the year 1883, which, with 20 cases previously reported, made a total of 77 cases in adult males, with
only
three deaths.
but too late for
We have
publication
contribution from Dr.
in this
Freyer,
just received,
issue,
detailing
a
ticulars of 42 additional cases operated ing the past year, with one death ; thus the brilliant result of 119 These results
were
cases
further
the paron dur-
giving
with four deaths.
obtained in the persons of
adult natives; but, as our readers are aware, Dr. Keegan of Indore published, in the Indian Medical Gazette of May, 1884, 24 cases of
rapid lithotrity, which went to show that this operation may also be performed in male children with almost equal success over lithotomy, Since the publication of that in adults. as communication, we are pleased to learn that
March, 1885.] Dr.
Keegan
LITHOLAPAXY IN INDIA?SHASTRAS ON WATER DEFILEMENT.
lias had nine additional
cases
of
rapid lithotrity at one sitting in children, all of "which have proved successful, thus making in all 33 cases, with one death, the death in that case arising from altogether exceptional circumstances.
It is
interesting to note here the employment in litholapax}* of the
successful new
local
muriate of cocaine. At St. Peter's
aiiEesthetic, Hospital, London,
in
of
from stone
a man
half
an
suffering
ounce
muriate,
began,
and
was
the bladder
injected
with
four per cent, solution of and the operation of litholapaxy
of
cocaine
January last,
a
completed painlessly
in
a
quarter
an hour. And 011 another page, Dr. Ross of Delhi details its sedative effects in a case of
of
irritable price of general
urethra. cocaine use
is,
The
extravagantly high prohibitive of its
of course,
in this way
just
at
present.
79