Modern surgery, general and operative . Fig. 867.—Buergers rongeur forceps with flexible shank for use with Buergers operating cystoscope. I dram of a 4 per cent, solution of cocain. Alypin, placed in the canal at thepoints of greatest tenderness by means of Dr. Lewiss repositor, answers verywell. These tablets are allowed to dissolve in the urethral mucus. The pointsof greatest tenderness are the fossa navicularis, the bulbo membranous junction,and the prostatic urethra about the verumontanum. In cases complicated by. Fig. 868.—Tilden Browns cystoscopic table with patient in position for exam
Modern surgery, general and operative . Fig. 867.—Buergers rongeur forceps with flexible shank for use with Buergers operating cystoscope. I dram of a 4 per cent, solution of cocain. Alypin, placed in the canal at thepoints of greatest tenderness by means of Dr. Lewiss repositor, answers verywell. These tablets are allowed to dissolve in the urethral mucus. The pointsof greatest tenderness are the fossa navicularis, the bulbo membranous junction,and the prostatic urethra about the verumontanum. In cases complicated by. Fig. 868.—Tilden Browns cystoscopic table with patient in position for examination. cystitis, preliminary lavage of the bladder should be practised. This may begiven through the cystoscope sheath or through a soft-rubber catheter. If thebladder is not diseased, it is merely necessary to draw off the urine. After theurine has been withdrawn, the cystoscope sheath should be firmly but gentlyheld in place. The thumb of the left hand presses downward while the index- Technic of Cystoscopy 1305 finger presses upward on the under surface of the sheath. This procedureraises the beak of the instrument from the sensitive trigone, where most ofthe pain and hemorrhage are produced by vesical tenesmus. In regard to the selection of the distending medium, the operator may usesterile water, normal salt solution, boric acid solution, or mercury oxycyanidsolution (1:5000). The bladder should be moderately distended and, if pos-sible, from 8 to 10 oimces of fluid are allowed to remain in the viscus.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
