Lithotomy versus Lithotrity in 1867

inquiry as to the methods used by Indian Surgeons in doing lithotomy, and their experience of lithotrity. In this way he collected statistics of 1,585 cases of lithotomy at different ages with an average mortality of 1 in 6. It is stated that in the opinion of many Surgeons in India " lithotomy will, in all probability, never be supplanted by lithotrity." This opinion was based upon the following considerations:?(1) that Government were not likely to provide the lithotrity instruments and (2) that natives would not remain long enough in hospital* after lithotrity, whereas in the cutting operation they had to remain till the wound was healed. At this time, 18G7, the experience of lithotrity in India was small, Dr. C. M. Smith of Lahore and Dr. R. T. Lyons had tried it a few times but both preferred lithotomy. From a report ot the Lahore Medical College Hospital it appeared that in the three years, 1861-63, there has been