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lx, 254 pp, 1 leaf [contents], 5 large folding plates (with errata leaf and descriptive text leaves for plates). 4 of the 5 folding plates illustrate Civiale's instruments, while plate IV (shown in a photo here) illustrates an operation. Rapport: 38 pp, large folding table. Contemporary marbled boards, with later leather spine. Foxed. See photos for the foxing: the title page is heavily foxed; the plates are lightly foxed. Closed tears in the gutter margin of some of the folding plates, but the images are not affected. Untrimmed. Good. First Edition. The large folding table in the Rapport is: "Tableau Analityque des opérations faites d'après ma méthode." Civiale "devoted his entire clinical career to urology and was particularly interested in the removal of bladder stones without having to resort to lithotomy. He worked for a number of years to devise instruments that could be introduced into the bladder transurethrally to crush the stone. Civiale was ultimately successful and in 1824 performed his first human lithotrity. He withstood a bitter controversy over his priority in the operation. The present work is one of his earliest and most important contributions. In it he presents his theories, describes the techniques he employed, and answers the arguments of his critics. At the end of the volume, a report to l'Academie Royale des Sciences by . . . Percy and . . . Chaussier summarizes their investigations into Civiale's claims to priority in lithotrity" (Heirs of Hippocrates 1484). See Garrison-Morton 4289 for Civiale's 1826 paper on lithotrity: "[Civiale] invented a lithotriteur for crushing stones inside the bladder and was responsible for putting the operation of lithotrity upon a sound basis." Murphy, History of Urology (pp. 169-71 and figs. 7, 27-29, 33) discusses Civiale's contributions to lithotrity. The explanatory text for Plate IV (illustrated in the photo here) reads: "Elle représente un malade au moment de l'opération; la paroi antérieure de l'abdomen et la vessie étant sup posées transparentes, on voit l'instrument introduit dans la vessie; la pierre, embrassée par la pince, et attaquée par le lithotriteur ; l'appareil entier est fixé et maintenu par la main gauche du chirurgien, placée à la réunion du tour avec l'instrument, et par les deux mains de l'aide placées sur la tige carrée du tour: la main droite du chirurgien tient l'archet. Le sacrum du malade est élevé par un coussin; ses jambes sont légèrement fléchies, sa tête un peu élevée, et ses bras dans leur position ordinaire. On a figuré ici le lit sur lequel je fais les opérations chez moi: on peut se servir d'un lit ordinaire.".
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