/
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2.  ?/?' 
 
A
SYNOPSIS AND ANALYSIS
ONE HUNDRED CASES OF LITHOTOMY, LITHOTRITY,
                    ETC. ~~-        —
BY
    PAUL P. ME, M.D.,
PROFESSOR OF PRACTICAL SURHERY, NASHVILLE, TENS.
            EXTRACTED PROM THE

TRANSACTIONS OF THE AMERICAN MEDICAL ASSOCIATION.
C/i/'o ,,,
U/Z>

            PHILADELPHIA:
COLLINS, PRINTER, T05 JAYNE STREET.
                 1871. 
 500
H35 
A SYNOPSIS AND ANALYSIS OF ONE HUNDRED CASES
          OF LITHOTOMY, LITHOTRITY, ETC.
  I take pleasure in presenting to the American Medic $A ;6< -
ation jthe-  results  of  n*y  operations in lithoto tiy^ lithot:^ty;  etc.,
within the last thirty jjtears/  These amount to <Jne hundred eases,
derived from the State's of Georgiajpoutb Carolina, North Carolina,
New York,  Alabama, Mississippi,  Missouri,  Kentucky, and Ten-
nessee* and  for their identification, the name, State, date, age, sex,
race, method of operation, where performed, number of calculi re-
moved, their weight, composition, and the results with remarks, are
all appended.X^Vith scarce an exception, these particulars are fully
detailed.  The only deficiency is in the chemical analyses, which
were found  to be tob, complex  to be included in the report here
proposed; so that only t^e-chief components could be given.  These
were  made  by the lafe  Pispf.  E.  B. Haskins, M.D., Clarksville,
Tennessee;  and  Prof. Joseph Jones, M.D., now  in  New  Orleans.
Several, however, have not yet been chemically examined.
  In regarcl  to States, it will be seen l!iaat Tennessee furnished 46,
Georgia 22, South Carolina 11, Mississippi&^Alabarna 7, Kentucky
2, Missouri 2, New York and North Carolina  1 each; total, 100.
  In' respect to date, the  first operation was  performed October,
1841; the  last, February,  1871—a period less than 30 years.
,  As to age, my youngest patient was 2J years, and the oldest 77.
Under 5 years there were 17 cases; between this and 14 years, 28
cases:  making a total of 45 children.  The mortality among these
was only 3, being 1 in  15.  In the remaining 55, or those above
14, there were 8 deaths, making a total mortality of  11  in the 100.
  Of these 1 died in 60 hours.
          1  "   in 64   "
          1  "   in 72   "
      "   2  "   on the sixth day.
      "   1  "   on the seventh day.
      "   5  "   between the twelfth and eighteenth days. Only
6 died from the effects of the operation, making a mortality of 1 in 
4        CASES OF LITHOTOMY,  LITHOTRITY,  ETC.
16.4 cases, and 5 from  intercurrent events or  diseases.   Omitting
the desperate cases and adventitious circumstances, would leave a
mortality of about 1  in 25 cases.   Again, of the first 50, 8 died;
of the second 50, only  3,  and but one of these was probably from
the operation, one from erysipelas in a hospital, and the  third one
getting up and falling on  the floor in a fainting fit.
   Of the first 19 only 1 died, and he from dysentery.
     "    next 6     3  "   each from inflammation and slough-
                              ing.
     "   next 22      none died.
           "   5     4 died.
           "  20     none died.
           "   8      3 died.
     "    last 20     none died.

       Cases 100     11 deaths.
  Of the sexes, 96  were males, 4 were females.
  Of the races, 6 were  blacks, 6 were mixed, 88 were whites.
  Method of Operation.—
  1 was relieved by urethral section.
  2  by vesico-vaginal section.
  2  by high operation,  one death.
  3  by lateral operation,  two  deaths.
  1  by dilatation.
  4  by lithotrity.

 13 cases
by other methods  than the bilateral,  of  which  number 3  died
or 4^ per centum.   Of  the 87 by the bilateral operation, 8 died, a
mortality of  1 in lOf.  Only 3 of these were under my care after
the operation.
  Lastly, the number of  calculi in  the one hundred cases was as
follows:—
          In  1 case there were ...... 117
           "  1   "   "     ......58
           " 1   "   "     ......18
           u T   «   ((                            nn
           " 2 cases triple......6
           " 5  "  double......10
           " 89  "  single......89
           100 cases.                               315 calculi.
  Of the composition of the stones, we are struck with the large
number of phosphates of  lime, and  the fewness of uric acid,  com- 
CASES  OF  LITHOTOMY,  LITHOTRITY, ETC.       5
pared to the European specimens. Ifr-ikia -yespedr are confirmed- the
nnnlyg^fl n?nrU-hy... Pr^fr. Tfofr^Y^. J^^im^rm We-npihfrj- 0f the
Dudleau fittlleatioar"'
  This may be the most complete synopsis ever made on the sub-
ject, cerhrinly in our country.   It is not alone ojf lithotomy, but of
lithotrity, asd includes four cases cut for/obstinate?, desperate cases
of cystitis;  an^for the reason that $ie same operation was per-
formed  as jf'for ^stone.  The bilateral method  is 4*fiat which my
two friends, Drs. H. FXjampbell arid W.T. Briggs, have also selected,
and together  have had, 1 learn, about another 100 cases.  I think
my success  with it is as good as that ever accomplished by any
other method.
* 
6      CASES OF LITHOTOMY, LITHOTRITY, ETC.
	Identification of			Operation	No. of calculi,	
	patient.	©		and where	weight, and	
No. Name, State, date,		<;	Race.	performed.	composition.	Result and remarks.
	and sex.					
1	Henry, mulatto boy,' 8		Mixed	Bilateral.	1 = 1 drachm.	Speedy recovery,healed almost
	belonging to Col. |			In Augusta,	Oxalate of lime.	by first intention.
	Lamar, of Lincolni			Ga.		
	Co., Ga., Oct. 1841.'					
2	Son of Mrs. H., of 6		White Bilateral.		1=4 drs.	Speedy recovery, well in about
	Baldwin Co., Ga.,			Iu Warren-	Triple phos.	eight days.
	May, 1843.			ton, Ga.		
3	Lewis, mulatto boy,	3	Mixed Bilateral.		1 = 1| drs.	Speedy recovery,healed almost
	belonging to Prof.		In Augusta,		Oxalate.	by first intention.
	Newton, of Augus-			Ga.		
	ta, Ga., June, 1843.					
4	Son of Mr. Scofield,	3	White Bilateral.		1 = 3 drs.	Speedy recovery.
	of Augusta, Ga.,			In Augusta,	Mixed oxal.,	
	Oct. 1845.			Ga.	urate, and phos.	
5	Mr. Loyton, of Ear-ly Co., Ga., Nov. and Dec. 1845.	34		Lithotrity. In Augusta, Ga.	1 measured about 1 inch in thickness. Fragments col-lected = 3 drs. Triple.	Speedy recovery.
6	Negro woman from n'r Talladega, Ala. Jan. 1846.	24	Black	Vesico-vagi-nal section	1 large calculus mass formed around a piece of the pubes, driven into blad. —1 fragment = 45 grs. uric acid.	Speedy recovery.
7 Dr. Thomas Reagan,		20	White	Bilateral.	1 = 47 grs.	Speedy recovery. This was per-
	Henry Co., Ga.,			In Henry	oxalate.	formed against the will of the
	April, 1847.			Co., Ga.		patient; he was held. Is now a graduate of Ga. Med. Coll.
8	Son of Mr. Collier, ofDeKalbCo.,Ga.,	16	"	Bilateral. N'r Atlanta,	l = loz.&21grs. ox. & phos. lime.	Speedy recovery.
	Oct. 1847.			Ga.	Was broken in ' extraction.	
9	Son of Mr. A. Kil-	5	"	Bilateral.	1 = 3 drs. Speedy recovery.	
	christ, of Edgefield			In Edgefield	mixed—urate,	
	Dist, S. C, March,				oxal., and phos.l	
	184S.			lime.		
10	Son of Mr. Perrin, of Edgefield Dist., S. C, May, 1848.	5i		Bilateral, j 1 = 2 drs. and Speedy recovery. In Augusta, ,4 grs. ura., oxal.: Ga. • | and phos. lime. 1		
11	Mr. Obannon, of	43	"	Bilateral.	117 = 4J oz. 'Speedy recov. Injury to spine,	
	Barnwell Dist., S.			In Augusta,	Phos. chiefly. 1824. In 1S59 Dr. Campbell,	
	C, Jan. 1849.			Ga.		of Augusta, cut him again, removing 58, and iu April, 1S63, I cut him iu Atlanta, Ga., extracting IS ; total 193.
12 'Negro boy, belong-		6	Black	Bilateral.	1 = 2J drs.	Speedy recovery.
ing to Mr. John			[In Augusta,		Triple phos.	
Hankerson, of S.C.,			Ga.			
Feb. 1S49.						
13 Gen. Tarver's son,		4	White' Bilateral.		1 = 2 drs.	Speedy recovery. Rectum was
of Twiggs Co., Ga.,				In Twiggs Prcbably mixed		punctured, but healed in 11
■ May, 1S49.				Co., Ga.		days. Parents refused to al-low me to retain the calculus.
14 iMr. Bowen's son, of		10	<«	Bilateral.	1 =3 oz. and 1	Death from dysentery. Was
1 Coweta Co., Ga.,				In Coweta dr. Triple phos.		doing well for ten days ; his
	May, 1849.		•	Co.	and oxal.	attending physician wrote: "I have no doubt he died of the bowel affection, when his wound had nearly healed."
15	Son of Mr. Zachary, 12		"	Bilateral.	No stone	Speedy recovery. Hud reten-
	of Morgan Co., Ga.,			In Augusta	removed.	tion of urine for years; could
	June, 1S50.					not explore bladder with fin-ger ; had symptoms of stone years after this.
16	Mr. John Ham-	7	"	Bilateral.	1=4 drs.	Speedy recovery, well in about
	mond's son, near			In Midway,	Ura. and oxa.	ten days.
	Milledgeville, Ga.,			Ga.		
	Oct. 1S50.					
17	Mr. Sang's son, ol Graniteville, S. C, Feb. 1S01.	7		Bilateral. 1 = 3 drs. Speedy recovery. In Augusta, Urate and oxal. | Ga.		
18	Mr. Jenning's son,	7 1 "		Bilateral. 1=3 drs. Speedy recovery, in 2 weeks.		
	of Elbert Co., Ga.,			In Augusta, <Urate and oxal.		
	March, 1851.			Ga.		
 
CASES  OF LITHOTOMY, LITHOTRITY,  ETC.       7
	Identification of			\ Operation ' No. of calculi,		
	patient.	aj		and where	weight, and	
No.	Name, State, date, and sex.	<	Race.	performed.	composition.	Result and remarks.
19	Dr. Smith's son, of	7	White	Bilateral.	2 = 2£ drs.	Speedy recovery. Dr. Dugas,
	Coweta Co., Ga.,			In Coweta	One was broken.	of Augusta, cut him for stone
	June, 1851.			Co.		some years after my operat'n.
20	Mr. Isaac Towers,	77	<<	Bilateral.	3. One removed	Death in 60 hours. This was a
	of De Kalb Co.,			In DeKalb	by the scoop.	desperate case. Post-mortem
	Ga., June, 1851.			Co.	Triple phos.	revealed 3 cysts, 2 containing small calculi.
21	Mr. Tyree, of Sum-	24	"	Bilateral,	1=4 drs.	Recovery. Returned home in
	ner Co., Tenn.,			In Nash-	Oxal. and phos.	two weeks.
Nov. 18.51.				ville, Tenn.		
22 'Dr. Duval's daugh-		5	"	Bilateral.	1 = H drs.	Speedy recovery. Was ope-
	ter, Tenn., Dec.			In Nash-	Phos. on triple.	rated upon on her 5th birth-
	1S51.			ville, Tenn.		day with the double litho-tome. Left for home in 5 days.
23	Mr. G.\s son, of Col-	7	"	Bilateral.	1 = 1 dr.	Speedy recovery. My only spe-
	lege Hill, Nash-			In Nash-	Uric acid.	cimen of pure uric acid, ex-
	ville, Tenn., Feb.			ville, Tenn.		cept No. 6, in which this was
	1S52.					deposited on bone.
24	Mr. —, Bedford Co.,	24	"	Bilateral.	1 = Uoz.	Death. Was a desperate case.
	Tenn., Feb. 1852.			In Nash-ville, Tenn.	Found broken up. Urates, ox. & phos.lime.	Died on 6th day of inflamma-tion and sloughing.
25	Col. K\, of Wilson	65	"	Bilateral.	1 = 1 oz.	Death. Died about 12th day of
	Co., Tenn., Feb.			In Wilson	But was found	sloughing. Was a large fleshy
	1S52.			Co., Tenn.	broken inTpieces. Oxal. and phos-phate lime.	man, weighed over 200 lbs.; had enlarged prostate; could not explore blad. with finger.
26	White boy, from	3	"	Bilateral.	1 = 40 grs.	Recovery. Returned home in
	Marshall Co.,Tenn.			In Nash-	Oxal. and	three weeks.
	Jan. 1853.			ville, Tenn.	urate	
27	Mr. Warner's son, of Nashville.Tenn.-Jan. 1853.	4	"	Bilateral. In Nash-ville, Tenn.	1 = 1 scruple. Oxalate.	Recovery. Did well.
2S	Mrs. S^wann's son, near Marietta, Ga., July,^853.	10	il	Bilateral. Near Mari-	1 = over 1 oz. Triple phos.	Speedy recovery.
				etta, Ga.		
29	Mr. Taylor, a school-	20	"	Lithotrity.	1. Fragments	Speedy recovery. Dr. H. F.
	teacher from New			In Augusta,	weighed 11 grs.	Campbell assisted me.
	York, July, 1853.			Ga.	Phos and oxal.	
30	Mr. Owen, of Atlan-	34	"	Bilateral.	2 = 4 oz.	Speedy recovery. Had been
	ta. Ga.. March,			In Atlanta.	Urates and phos.	the victim of hip-joint dis-
						ease; was a school teacher;
						recovered finely; saw him
						frequently in Atlanta during
						the war.
31	Mr.Blakemore'sson, of Marshall Co., Tenn., March, 1854.	12		Bilateral. In Nash-ville, Tenn.	1 = 1 dr. Oxal. and phos.	Speedy recovery.
32	Son of Mrs. Mason, of Smith Co.,Tenn., Oct. 1854.	7		Bilateral. In Nash-ville, Tenn.	1=3 drs. Oxal. and phos.	Speedy recovery.
33	Dr. Comer, of Ma-	21	<	Bilateral.	1 = 3 drs.	Speedy recovery. A small ar-
	con, Ga.,Oct. 1854.			In Macon, Ga.	Oxalate,	tery was tied on 3d day. Was a graduate of medicine.
34	Mr. Wellons, of Ga.,	26	a	Bilateral.	1 = 6 dr.	Good recovery. Had second-
	came with Dr. Pea-			In Nash-	Oxalate.	ary hemorrhage.
	cock, Nov. 1854.			ville. Tenn.		
35	Mrs. Plummer's son, ofNashville,Tenn., April, 1855.	4		Lateral. In Nash-ville, Tenn.	1=8 grs. Too small to ring or click.	Speedy recovery.
					Urate & pbos.	
36	Mulatto boy belong-	16	Mixed	Bilateral.	1 = 2 drs.	Speedy recovery. Walked into
	ing to Mr. Duncan, of Barnwell Dist.,			In Nash-	Oxalate.	lecture-room a week after
				ville, Tenn.		operation.
	S. C, Oct. 1855					
37	White boy from Mar-shall Co., Tenn., Jan., 1855.	9	White	Bilateral. In Nash-ville, Tenn.	1 Small calcu-lus. Oxalate.	Speedy recovery.
38	Mr. Garrett, of Mis-	66	«	High.	1 = 600 grs.	Recovery. Out on the ISth
	sissippi, May, 1S55.			In Nash-ville, Tenn.	Probably phos.	day. A large fleshy man, had lost an eye and right lower extremity (middle thigh), yet weighed 210 lbs.
39	Boy in Edgefield, Tenn., May, 1856.	2&	n	Bilateral. In Edge-field, Tenn.	2 = 2 drs. One half-moon shpe. Urate and phos,	Did well.
 
CASES  OF  LITHOTOMY,  LITHOTRITY,  ETC.
 Identification of
     patient.
Name, State, date,
     and sex.
40 Boy from  Western
     Dist. of Tenn.,Nov.
     1856.
   Mr. — from Western
     Dist. of Tenn., Jan.
     1S57.
41
50
D. P., of Hardeman
 Co.,  Tenn.,  Feb.,
 1857.

Mr. C, of Smith Co.,
 Tenn., Feb. 1857.

Negro   boy   from
 Montgomery   Co.,
 Tenn., May, 1857.
Mr.  Buchanan,  of
 Lincoln Co., Tenn.,
 May, 1857.
Mr. Bradford"s son,
 of   Brownsville,
 Tenn.,  June, 1857.
A son of Mr. T., of
 Maury Co.,  Tenn.,
 Dec. 1857.
Mr. Smith, from Mis-
 sissippi, June, 185S.
A  son  of  Mr.  H.,
 from   Mississippi,
 Oct. 1838.
Mr.  Galbraith,  of
 Maury Co., Tenn.,
 Nov. 1S5S.
J. S., of Wilson Co.,
 Tenn., June, 185S.

Son of Mr. Holman,
 of Springfield,
 Tenn., Nov. 1S5S.
Son  of  Mr. P., of
 Haywood Co.,
 Tenn., Jan. 1859.
Son of Mr.Bradbury,
 of Montgomery Co.,
 Tenn., June,  1859.
Son of Dr. White, of
 Memphis, Tenn.,
 1S59.
Mulatto boy belong-
 ing  to  Mr.  Jos.
 Thompson, of La-
 vergne, Tenn., Oct.
 1859.
Dauglit. of Col.New-
 son, n'r Nashville,
 Tenn., Oct. 1859.
Mr. Persons, of Tus-
 cumbia,  Ala.  Jan.
 I860.
Race.
11 White


26 i  "
22
Black
White
Operation
and where
performed.
Mixed
White
 Bilateral.
 In Nash-
ville, Tenn.
Dilatation.
 In Nash-
ville, Tenn.

 Bilateral.
 In Nash-
ville, Tenn.

 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Lincoln
 Co., Tenn.
 Bilateral.
In Browns-
   ville.
 Bilateral.
In the Nash-
 ville Hosp.
   High.
  In Nash-
 ville, Tenn.
  Lateral.
 In Nash-
ville, Teun.
 Bilateral.
 In Nash-
ville, Tenn
 Urethral
  section.
 Nashville.
 Bilateral.
 In Nash-
ville , Tenn.
 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Nash-
ville, Tenn.
 Bilateral.
 In Edge-
field, Tenn.
 Bilateral.
In Tuscum-
 bia, Ala.
No. of calculi,
 weight, and
composition.
Result and remarks.
  1 = 398 grs.   Speedy recovery.
Phos. probably, i

1 = the size of a Speedy recovery.  The calcu-
 coffee-bean
  Unknown.

 1 = H drs.
Not analyzed.
1 = 4 drs.
Phos. lime.

1 = 47 grs.
 Oxalate.
 1 = 131 grs.
 Was broken.
 Urate & oxal.
  1 = 39 grs.
   Oxalate.

 1 = over J oz.
 Not  analyzed.
Probably phos.
1 = 4 oz. 2 drs.
 My largest.
 N°t  analyzed.
 Probably the
     triple.

None removed.
  1 = 406 grs.
Family refused
to let me have it.
   1 = 3 oz.
Urate and phos.
 3 = 11 drs.
Phos. of lime
  1 = 20 grs.
    oxalate.

  1 = 21 grs.
Phos. and oxal.

   1=15 grs.
Urate & oxalate.

  1=1 drachm.
  Phos. lime.
1=1 oz. & 2 grs.
Phos. probably,

   1=3 drs.
  Broken up.
  Triple phos.
 lus was lost by a student, as
 it was being passed  around
 the class.
Good recovery.  Left for Mem-
 phis, by  steamer, in  a  few
 days after operation.  Mem-
 ber of class.
Speedy recovery.  Returned
 home in three weeks.

Speedy recovery. Operated be-
 fore some members of the Am.
 Med. Association.  Dr. Wood,
 of New  York,  assisted  me.
 Left for home in a carriage on
 5th day with Dr. Whittaker.
Speedy recovery.   A  large
 fleshy man, 21S lbs. weight.

Speedy recovery. Out in three
 weeks.

Death.  Had hemorrhage fol-
 lowed by fever, and died on
 the 7th from exhaustion.
Death.  A short fat man ; his
 father and grandfather  had
 stone. Died of peritonitis in
 72 hours.  The calculus  was
 very irregular,  and  the for-
 ceps could not grasp it.
Death.  Four days after ope-
 ration had a chill, and died
 of  erysipelas on  12th  day.
 Drs. Jennings and Briggs felt
 gravel also. Post-mortem re-
 vealed gravel deposits in coats
 of bladder.
Death.  A desperate case from
 injury to the spine; did pretty
 well for  four days, then he-
 morrhage occurred, followed
 by exhaustion and death on
 ISth day.
Recovered.  Returned  home
 with  fistula.   Never  after-
 wards heard from him.
Recovered. Returned home on
 Sthday. Hasdiseaseof spine
 The  stones are curious as to
 shape, and are highly pol-
 ished ; one is triangular,  and
 the other two are six-sided.
Speedy recovery.  Well in 15
 days.
Speedy recovery.
 days.

Speedy recovery.
 days.

Good recovery.
Well in 10
Well  in  8
Good  recovery.  Some incon-
 tinence of urine.

Good recovery. 
CASES OF LITHOTOMY, LITHOTRITY, ETC.      9
	Identification of			Operation	No. of calculi,	
	patient.	0>		and where	weight, and	
No.	Name, State, date, and sex.	<	Race.	performed.	composition.	Result and remarks.
59 Son of Mr. Higdon,		6	White	Bilateral.	1=40 grs.	Good recovery. Left for home
J of Maury Co. Tenn.				In Nash-	Oxalate.	in two days.
| Feb. 1860.				ville, Tenn.		
60 Son of Dr. Rand,		7	"	Bilateral.	1=1 dr.	Good recovery. I learned since
near Tuscumbia,				Near Tus-	Oxalate.	that he had some incontinence
Ala., May, 1S60.				cumbia, Ala.		of urine.
61 Sou of Mr. Hollis, of		8	"	Bilateral.	1=2 drs.	Good recovery. Got well in
Sumner Co., Tenn.				In Nash-	Phosphate.	two weeks.
	May, 1860.			ville, Tenn.		
62	Son of Mr. Black-	5	"	Bilateral.	1. Refused to	Good recovery. Left in two
	burn, of Madison			In Nashville	me.	weeks.
	Co., Ala., May, I860			Hospital.		
63	Mulatto boy, belong-	5	Mixed	Bilateral.	1 1 drachm.	Good recovery. Left in two
	ing to Mr. Greer, of			In Nash-	Oxalate.	weeks.
	Sumner Co., Teun.,			ville, Tenn.		
	July, 1860.					
64	Son of Mr. Lester, of Kentucky, Oct.lS60	7	White	Bilateral. In Nash-ville, Tenn.	1. Broken up. Triple.	Speedy recovery.
65	Sou of Mr. Pullen, of	15	"	Bilateral.	1=4 drs.	Speedy recovery. Some little
	Dickson Co., Tenn.			In Nash-	Of a dumb-bell	incontinence.
	Oct. I860.			ville, Tenn.	shape. Not analyzed.	
66	Mr. Tressler, of N. Carolina, Oct. 1S60.	24		Bilateral. In Nash-ville, Tenn.	1=4 drs. Oblong slightly curved shape. Phos.	Speedy recovery.
67	Dr. Sadler, of Wilson	27	"	Bilateral.	l=about 1 oz.	Speedy recovery. Was a stu-
	Co., Tenn., Dec,			In Nash-	Apparently	dent of medicine.
	1860.			ville, Tenn.	phosphate.	
68	Son of Mr. Sheppard,	5	'	Bilateral.	1=5 grs.	Speedy recovery. Was in a
	n'r Stanton Depot,			50 miles east	My smallest;	desperate condition when ope-
	Tenn., Jan. 1S61.			of Memphis.	cotton-seed shape and size.	rated on, from retention and urajmia.
69	Mulatto boy belong-ing to Mr. McKis-sock, of Giles Co., Tenn., April, 1S61.	9	Mixed	Bilateral. In Nash-ville, Tenn.	1=H oz. Not analyzed. Probably the triple phos.	Good recovery.
70	Negro boy belonging	11	Black	Bilateral.	1=1 s drachm.	Speedy recovery. Left for home
	to Mr. Newson, of			In Nash-	Like in shape to	in a week.
	Cherokee, Ala.,			ville, Tenn.	the burr of the	
	July, 1S61.				gum-tree	
71	Sou of Mr. Wells, of Clarkesville, Tenn. Oct. 1861.	4	White	Bilateral. In Nash-ville, Tenn.	1=3 drs. Is lost.	Speedy recovery. Well in 12 days.
72	Son of Mr. Bellin-	3	".	Bilateral.	1=1* drs.	Speedy recovery. Returned
	ger, of Barnwell,			In Nash-	Oxal. and phos.	home in two weeks.
	S. C, Oct. 1861.			ville, Tenn.		
73	Mr.NeilofHindsCo., Miss., May, 1862.	60		Lateral with gorget, in Columbus, Miss.	17=5 drachms.	Died in 64 hours. Short, thick-set, fat man. A desperate case. I believe the bladder was injured by the beak of gorget. Never reached blad-der with finger.
74	Mr. Mobly, of Car-	20	"	Bilateral.	1=4 drs.	Good recovery. Furloughedin
	roll Co., Ga., a con-			In Atlanta,	Probably the	three weeks.
	script, Oct. 1S62.			Ga., Gate City Hosp.	triple.	
75	Son of a soldier, At-	12	"	Bilateral.	1. A large irre-	Good recovery. Returned
	lanta,Ga.. Oct.1862.			In Atlanta, Ga.	gular mass. Triple.	home in a few days.
76	Mr. O'Bannon, same	56	"	Bilateral.	18. Removed.	Death. Did well until 12th
	as No. 11, in Atlan-			In Atlanta,	Phosphate.	day, when he was attacked
	ta, Ga., April, 1863.			Ga.		with erysipelas of ttie hand and forearm, and died ; the wound had nearly healed.
77	Mrs. Dielh, of Jeffer-	40	"	Vesicova-	2=1 i oz.	Good recovery. As she had a
	son Co., Ga., June,			ginal sect'n.	One moves in	vesico-vaginal fistula, the
	1863.			In Jefferson Co., Ga.	the other like a ball and socket-joint. Phos.	urethra was laid open to it. I learn she was satisfied with the result.
78	Son of Rev. Mr. Mc-Queen, of Talladega Ala., Nov. 1863.	7	u	Bilateral. in Tallade-ga, Ala.	1. Triple.	Good recovery. Did well.
79	Son of Capt. Ward, of Lagrange Ga., Dec. 1863.	3		Bilateral. In Lagrange	1. Size of a marble.	Good recovery.
 
10     CASES OF LITHOTOMY, LITHOTRITY, ETC.
	Identification of			Operation	No. of calculi,	
	patient.	d		and where	weight, and	
No.	Name, State, date, and sex.	4? ■ Race.		performed.	composition.	Result and remarks.
80	Mr. Wilson, of Barn-	24 White		Bilateral.	2=2J oz.	Death. A desperate case ; did
	well Dist., S. C,			In Barnwell	Urate & phos.	well to 12th day, when he
	Oct. 1864.			District.		got up, fainted, and fell on the hearth. Died on the 14th day. Recovered.
81	Mr. Stephen Garrett,	24	'<	Bilateral.	For chronic.	
	Chattooga Co., Ga.,			In Nash-	cystitis.	
	Nov. 1S65			ville, Tenn.		
82	Mr. J. II. Wilson, of	26	"	Bilateral.	1. Oxalate—a	Speedy recovery.
	Obion Co., Tenn.,			In Nash-	beautiful one.	
	Jan. 1S66.			ville, Tenn.		
83	Son of J. K. Dunlap,	4		Bilateral.	2. Phosphoric Speedy recovery. Returned	
	near Humboldt,			In Nash-	and uric acids 1 home on - the 4th day; was	
	Tenn., Nov. 1S66.			ville, Tenn.	predominated. 1 only a week away from home.	
84	Negro boy, Cud joe,	12	Black	Bilateral.	1. Phosphate. Speedy recovery.	
	from Williamson			In Nash-		
	Co., Tenn., Nov.			ville, Tenn.		
	1866.					
85	Mr. Wm.C, of Nash-	64	White	Bilateral.	2. One of our	Speedy recovery. A large,
	ville, Tenn., Nov.			In Nash-	noted citizens.	fleshy man. In excellent
	1S66.			ville, Tenn.	Uric acid.	health now.
86	Mr. Woodfin, of Mis-	34	"	Lithotrity.	1. Small one.	Speedy recovery. At one sit-
	sissippi, Nov. 1S66.			In Nash-ville, Tenn.	Uric acid.	ting. Patient weighed 22olbs., was 6 ft. and 4 iu. iu stature.
87	Son of Mr. Howland,	8	"	Bilateral.	1=3 drachms.	Speedy recovery. A portion of
	of Rutherford Co.,			In Nash-	Quite friable.	mucous membraue was at-
	Tenn., Nov. 1866.			.ville, Tenn.	Uric and phos.	tached to the rough end of the stone.
88	Son of Mr. Dickson, Hardin Co., Tenn., Nov. 1866.	5		Bilateral. Iu Nash-ville, Tenn.	1=2£ drachms. Uric and phos.	Speedy recovery.
89	Mr. Wm. Gober, a	25	"	Bilateral.	1=2! oz.	Speedy recovery. He passed
	soldier of Fayette			In Nash-	Phosphate lime.	through the war as a confede-
	Co., Tenn., Dec.			ville, Tenn.		rate soldier.
	1S66.					
90	Dr. Lain, of Gibson	42	"	Bilateral.	1=4 drachms. Speedy recovery. Left for the	
	Co., Tenn., May,			In Nash-	Jug shape. , country in a week.	
	1867.			ville, Tenn.	Oxalate & urate	
91	John Cahon,ofNorth	16	"	Bilateral.	1=1 drachm. Speedy recovery.	
	Mississippi, April,			In Nash-	Like a gum burr.	
	1868.			ville, Tenn.	Oxalate.	
92	Negro Austin, of	21	Black	Bilateral.	For chronic ob-	Relieved him for a time. Dr.
	Nashville, Tenn.,			In Nash-	stinate cystitis.	Briggs repeated the same ope-
	Dec. 1868.			ville, Tenn.		ratiou the next winter, and I learn he is now well and married. Good recovery from the opera-
93	Mr. Moore, of St.	45	White	Bilateral.	For chronic ob-	
	Louis, Jan. 1869.			In St. Louis City Hosp.	stinate cystitis.	tion, but not entire relief bv it.
94	Mr. Hunter, of Simp-	48	"	Bilateral.	For chronic ob-jGood recovery. No recent	
	son Co., Kentucky,			In Nash-	stinate cystitis.	news from him.
	May, 1S69.			ville, Tenn.		
95	Dr. Higgins, of St.	26	"	Bilateral.	1. Shape like a	Good recovery. A desperate
	Louis Co., Mo., Oct.			In St. Louis,	Minnie ball.	case.
	1869.			Mo.	Triple.	
96	Mr. Leon. Chisom, of Holly Springs, Miss., Sept. 1870.	18		Bilateral. In Nash-ville, Tenn.	l=Hoz. Flattish oblong. Oxalate.	Good recovery.
97	Son of Dr. Hancock,	4	**	Bilateral.	1=2 dis. &lscr.	Good recovery. Returned home
	of Wilson Co.,			In Nash-	Ur. ox. & phos.	on tenth day.
	Tenn., Oct. 1870.			ville, Tenn.		
98	Stepson of Mr.Smith,	9	"	Bilateral.	1=900 grs.	Good recovery. Desperate case
	of Rutherford Co.,			In Nash-	Triple.	and desperate operation ;
	Tenn., Dec. 1870.			ville, Tenn.		about one hour in perform-ing it. Dr. Briggs aided me materially.
99	Mr. J. 0. Ewing, of	38	it	Lithotrity.	1. 1 in. in diam.	Entirely relieved him. Broke
	Courtland, Ala.,			In Nash-	Fragments	the stone before the class
	Dec. 1870, and Feb.			ville, Tenn.	weighed about	Dec. 12th, 1870. Continued
	1871.	52		About 20 sittings.	150 grains.	the sittings to March 2d at in-tervals. On the 9th declared him well, and confirmed since by letter.
100 Mr. O'Bannon, aged			"	Bilateral.	58. Size from pea	Good recovery. I could not
	56. Same case as			My case, but	to that of hick-	leave Nashville, and my re-
	Nos. 11 and 76. In			Prof. Camp-	ory nut.	lative operated.
	1859.			bell opera-ted in Augusta,Ga.	Phos. of lime.	
 
 
 
T
/ji/^-i Xjm* H I  "'*" '—"f
r
SYNOPSIS AND ANALYSI
ONE HUNDRED CASES OF LITHOTOMY, LITHOTRITY,
                    ETC.
            BY

    PAUL F. EVE, M.D.,
PROFESSOR OF PRACTICAL SURWERY, NASHVILLE, TENN.
            EXTRACTED FROM THE

TRANSACTIONS OF THE AMERICAN MEDICAL ASSOCIATION
jjj»>,»—V*
            PHILADELPHIA:
COLLINS, PRINTER, 705 JAYNE  STREET.
                 1871.