144 Success of Lithotrity and Lithotomy. 



Lisfranc answers this statement of Velpeau from Civiale's 

 paper in the Dictionaire de Medicine, from which it appears, 

 that during 8 years from 1824, Civiale has treatod 429 

 patients, comprehending 14 children, 190 adults, and 225 

 aged persons, or 419 males and 10 females. Of these, 244 

 were operated on by lithotrity, 236 were cured, 5 died, and 

 3 continued to suffer. Of the remaining 185, 88 were cut, 

 of whom 48 died, 32 were cured, and 8 were not benefited. 

 These operations were performed, 13 by the lateral section, 

 9 by the bi-lateral method, and 39 by the hypo-gastric pro- 

 ceeding. In 27 of the latter cases, the issue was not known. 

 The statement of Velpeau with regard to Bancal's cases is 

 not correct : 4 recovered instead of 2. Hence, the mor- 

 tality of Civiale's cases was trifling, or 1 in 27. 



Lithotomy. According to Velpeau, there were, at the 

 Hopital de la Charite from 1719 to 1728, 1200 operations 

 of lithotomy, of which 945 were cured, and 255 died. At 

 Luneville, of 1629 cases, Saucerotte had 1482 cures. Du- 

 puytren lost by this operation 61 out of 356. At Norwich, 

 of 506 operations, there were 70 deaths ; Leeds, 197 opera- 

 tions, 28 deaths. Cheselden had 213 operations and 14 

 deaths ; Frere Come 100 cases, 19 deaths ; Souberbielle 

 133 cases, 17 deaths ; Dupuytren, by the lateral method, 

 70 cases, 6 deaths. Cross, in his Jacksonian prize essay, 

 describes 704 operations, and only 93 deaths among these. 

 Renzi, at Naples, had 389 cases, 60 deaths. Pajola lost 5 

 in 50 ; Panza 5 in 70 ; Ouvrard 3 in 60 ; Virice 3 in 83 ; 

 Martineau, in England, 2 in 84; Dudley, in America, 1 in 

 72 ; Smith, in America, 1 in 18 ; Chelius, in Germany, 1 in 

 22; Petrunti, at Naples, 1 in 25, in private practice; and 

 Santoro 1 in 56. 



To these statements Lisfranc answers, that from 1720 to 

 1727, there were only 208 operations, at the Hopital de la 

 Charite, and 71 deaths, that is, I in 3. Moraud gives another 

 table from the Hotel Dieu of 604 operations, in which there 

 were 184 deaths = 1 in 3^. Another table, at La Charite, 

 from 1731 to 1735, gives 72 operations, and 32 deaths. 

 The success of Saucerotte is accounted for by the number 

 of females operated on, viz. 65, on whom the operation is 

 much less dangerous, and of these 65 only two died. Then 

 there will remain 1564 males cured, and 145 deaths, or 1 in 



