The Surgery of the Ureter

Kovacs' recent statistics with those published by Sir Henry Thompson, four or five years ago.There are, however, great differences between the ages of the patients, only fifteen out of Thompson's 716 having been children, while 115 out of 233 of Kovacs' patients were children (i.e. under 20 years of age).Kovacs' statistics are as follows :"Two hundred anct thirty-three patients, on whom were performed 248 operations, with 21 and 18 deaths respectively, (8.5 % and 7.23 %).There were 77 lateral perineal sections, with 4 deaths, 2 supra¬ pubic sections, with 1 death, 168 lithotrities, with 16 deaths, 1 extrac¬ tion of calculi with o death.k Three of the fatal lithotrities died of intercurrent diseases-viz:1 "apoplexia cerebelli", 1 of Asiatic cholera, and 1 of pneumonia.The cases of Prof. Kovacs, classified in the same way as Sir H.Thompson's give the following results:Thirteen female patients all lithotrities; no deaths, 115 under 20 years of age, 70 lithotomies, 2 deaths, 75 lithotrities, (4) 3 deaths; male adults, 7 lithotomies, 2 deaths, no lithotrities (12) 10 deaths, suprapubic sections, 1 death.