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

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