. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ra cavernosa(Fig. 93), showing the nerve-supply and (Fig. 95) the point of injec-tion, using here about 1 dram of novocain adrenalin solution ora somewhat more liberal injection of solution No. 1. If the contemplated procedure involves the urethra, a smallerquantity of the solution should be injected deep on either side of this GENITOURINARY, ANORECTA
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ra cavernosa(Fig. 93), showing the nerve-supply and (Fig. 95) the point of injec-tion, using here about 1 dram of novocain adrenalin solution ora somewhat more liberal injection of solution No. 1. If the contemplated procedure involves the urethra, a smallerquantity of the solution should be injected deep on either side of this GENITOURINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 369 structure in the sulcus, between it and the corpora cavernosa. Shoulda fine needle pierce the urethra in this injection no damage willresult. A small stationers elastic band, used as a constrictor, shouldnow be placed around the base of the organ proximal to the injections,but not too tightly, for fear of injury. After a few minutes delayanesthesia is produced. Gentle massage helps to diffuse the solution,when any operation involving these parts may be undertaken, fromcircumcision to amputation. Urethrotomy, internal or external, aswell as plastic work, involving the urethra or the rest of the organ,. Fig. 95.—1, Shows line of anesthesia for suprapubic cystotomy; 2, points on eachside of midline for paraneural injection of dorsal nerves of penis; 3, area of anesthesia forvaricocele, hydrocele, or orchidectomy. can now be painlessly done. The above is an excellent method forthe cauterization of extensive or phagodenic chancroids of this regionor for operations for paraphimosis. The Oberst Method.—This is really a form of arterial anesthesia,and, while ingenious and effective, may at times be followed by hema-toma, and for that reason is not very popular with the writer. A constrictor is placed around the root of the organ. A syringe andfine needle filled with i per cent, cocain solution (which is the solu-tion recommended by Oberst, though n
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
