JAMA. 1889;XIII(14):483-486. doi:10.1001/jama.1889.04440060015005.
Text Size: A A A
Published online


In accepting the invitation of our President to discuss before this body the subject of litholapaxy in children, I have felt no slight degree of hesitation. In the region of country where I reside —Cleveland, Ohio—stone in the bladder is of rare occurrence, so that no one surgeon secures a large number of cases for operation. However, having resided in the Massachusetts General Hospital, and having seen during three years the evolution of the operation of litholapaxy in the hands of Henry J. Bigelow, and having followed it carefully abroad as performed by Guyon of Paris, Sir Henry Thompson of London, and other surgeons, and having added to this some experience of my own in operating upon children—I shall venture briefly to open this discussion, hoping to elicit from others opinions which will be of value to us all.

Though the operation of litholapaxy on children is a recent one,


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.