RT Journal A1 ANDREWS E T1 THe comparative results of lithotomy, litholapaxy and lithotrity in one hundred operations for stone. JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1889 FD June 15 VO XII IS 24 SP 829 OP 833 DO 10.1001/jama.1889.02401010001001 UL http://dx.doi.org/10.1001/jama.1889.02401010001001 AB The new instruments and modified methods introduced by Bigelow, of Boston, for crushing and evacuating vesical calculi seemed at first dangerously severe. In litholapaxy one must often work with his instruments in the bladder for more than an hour, and it naturally impressed surgeons as a rash and perilous procedure. I confess to having felt strong fears in this direction, and many other surgeons were even more timid in the matter than myself. Prof. Paul F. Eve seems to have avoided the new plan almost entirely, and Prof. James R. Wood, of New York, shortly before his death, showed me his collection of vesical calculi, and informed me that he had just cut for stone the ninetieth time, and had never crushed in a single instance.However, experience soon showed that the bladder is far more tolerant of even a whole hour or more of Careful instrumentation, which thoroughly clears