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To Cheselden Operative Surgery is indebted for one of the most important improvements, that the whole range of the profession can present. The certainty and safety with which a most painful disease can be relieved, stamps the lateral operation of Lithotomy as a bold and highly rewarded effort of genius,—as a present of inestimable value to suffering humanity,—and as a just cause of triumph to our national feelings as surgeons.
It has now undergone the test of nearly a century, and, like all improvements of real value, it has past through its ordeal with increased rather than diminished credit.
Connected with a school that gave birth to the present lateral operation, and deeply impressed with the conviction of its superiority over every other mode of operating in this disease, I need offer no apology for reviewing what appears to me to be the true principle of the operation.
A review of this kind is perhaps the more required at the present time, when attempts are made by English, as well as Continental surgeons, to revive a mode of operating that presents no advantage under ordinary circumstances,—that was discarded by Cheselden,—and needs an equal test of time and experience to shew its comparative merit. If want of success in the lateral operation has thus led to its abandonment, it becomes a question, how far it may be traced to a neglect of those principles which guided Cheselden. To such as are laying aside lateral Lithotomy; the following observations, by recalling their attention to his principles, may prove useful; to those who still continue to practice it, they may, by throwing a few lights on the subject, be interesting; and to the younger members of the profession, by explaining a new and simple method of performing the operation, they may perhaps be not entirely devoid of instruction.
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