BURDWAN CHARITABLE DISPENSARY. VESICAL
By
Assistant
J
CALCULUS?LITHOTOMY. Surgeon
Deno Bunpoo Dutt.
Haradhun Dey, aged 35 years, a native of JUowKa, in Tbannah Indas, in Burdwan, was admitted into the Government Charitable Dispensary on the 6th February, with symptoms
of stone in the bladder. The patient stated that about ten years ago he first commenced to pass water oftener than usual in small quantities, that the frequency of micturition gradually increased and was attended with a pain about the anus. He further said on enquiry that be never suffered from stoppage in the flow of urine, nor passed any blood during the entire period of hi3 illness. Patient always resided in Burdwan, and had never been to any up-country station. Symptoms on admission.?Spare in form ; appearance anxious, pallid and anaemic; a gnawing pain felt in the region of the anus find around it; a dragging feel in the groins ; and an uneasy
sensation in the glans penis. The urine somewhat pale-colored with shreds of mucus in it; frequency in passing urine ; straining ; great irritability of bladder ; want of sleep and nervous excitement. Physical Symptoms.?Cn passing a steel sound into the bladder and tapping the same, a distinct metallic tinkling sound was audible, and observing the extent of surface of the stone along which the sound was incontact, and the difficulty in moving the instrument frcm side to side, it appeared to me that the calculus was of large size. Operation?A dose of ,:astor oil was administered to the patient on the 6th February, and early on the following morning, the day of operation, the rectum was emptied by an enema. The perineum was shaved, and the patient directed not to empty hia bladder. The lateral operation was had recourse to, and the stone taken out though not without much trouble. The last part of the operation, however, was considerably prolonged owing to the difficulty in extracting the calculus. It was caught by and slipped out from the forceps, many times before it could be brought
out,
25S
THE INDIAN MEDICAL GAZETTE.
much laceration of the soft parts resulting. The patient was Under chloroform for about half an hour. The stoue weighed 7 ounces and 2 drachms after the operation, but its present weight is 6 ounces and 7 drachms. It is made up of uric acid with a thin rough superficial coating of phosphates. The stone is round in shape but somewhat compressed on one side. The circumfereiice is 8 inches, that round the compressed side 7 inches and 2 lines, the diameter being about 2f inches. The patient was very low after the operation and required the administration of large quantities of stimulants and nutrition ; after rallying he suffered from severe and troubleweek from the 9th to some hiccups which lasted for about a The wound healed kindly without any untothe loth February. such as diffuse cellular inflammation or ward symptoms, peritonitis. He was discharged cured on the 8th April 1878. other for removal of vesical calculus were Two operations performed by me during the present year, in one the stone weighed 3 drachms and 40 grains, in the other drachms. The first case has left hospital completely well, the second is still under treatment.
[June 1, 1878.
By
Assistant
J
CALCULUS?LITHOTOMY. Surgeon
Deno Bunpoo Dutt.
Haradhun Dey, aged 35 years, a native of JUowKa, in Tbannah Indas, in Burdwan, was admitted into the Government Charitable Dispensary on the 6th February, with symptoms
of stone in the bladder. The patient stated that about ten years ago he first commenced to pass water oftener than usual in small quantities, that the frequency of micturition gradually increased and was attended with a pain about the anus. He further said on enquiry that be never suffered from stoppage in the flow of urine, nor passed any blood during the entire period of hi3 illness. Patient always resided in Burdwan, and had never been to any up-country station. Symptoms on admission.?Spare in form ; appearance anxious, pallid and anaemic; a gnawing pain felt in the region of the anus find around it; a dragging feel in the groins ; and an uneasy
sensation in the glans penis. The urine somewhat pale-colored with shreds of mucus in it; frequency in passing urine ; straining ; great irritability of bladder ; want of sleep and nervous excitement. Physical Symptoms.?Cn passing a steel sound into the bladder and tapping the same, a distinct metallic tinkling sound was audible, and observing the extent of surface of the stone along which the sound was incontact, and the difficulty in moving the instrument frcm side to side, it appeared to me that the calculus was of large size. Operation?A dose of ,:astor oil was administered to the patient on the 6th February, and early on the following morning, the day of operation, the rectum was emptied by an enema. The perineum was shaved, and the patient directed not to empty hia bladder. The lateral operation was had recourse to, and the stone taken out though not without much trouble. The last part of the operation, however, was considerably prolonged owing to the difficulty in extracting the calculus. It was caught by and slipped out from the forceps, many times before it could be brought
out,
25S
THE INDIAN MEDICAL GAZETTE.
much laceration of the soft parts resulting. The patient was Under chloroform for about half an hour. The stoue weighed 7 ounces and 2 drachms after the operation, but its present weight is 6 ounces and 7 drachms. It is made up of uric acid with a thin rough superficial coating of phosphates. The stone is round in shape but somewhat compressed on one side. The circumfereiice is 8 inches, that round the compressed side 7 inches and 2 lines, the diameter being about 2f inches. The patient was very low after the operation and required the administration of large quantities of stimulants and nutrition ; after rallying he suffered from severe and troubleweek from the 9th to some hiccups which lasted for about a The wound healed kindly without any untothe loth February. such as diffuse cellular inflammation or ward symptoms, peritonitis. He was discharged cured on the 8th April 1878. other for removal of vesical calculus were Two operations performed by me during the present year, in one the stone weighed 3 drachms and 40 grains, in the other drachms. The first case has left hospital completely well, the second is still under treatment.
[June 1, 1878.
