Operative surgery, for students and practitioners . Fig. 315.—Youngs Tractor Open. The tractor, closed, is passed through the opening in the urethra,into the bladder up beyond the prostate mass, and its blades thenspread by turning the arm at the handle. With this instrument theprostate mass is drawn down into the incision in the j)erineum andits entire posterior surface and base exposed. The rectum may bedrawn back toward the coccyx, out of the wsij, with a broad fibrous sheath of the prostate is incised on either sideaccording to the method of Young, and the prostate mass enucl
Operative surgery, for students and practitioners . Fig. 315.—Youngs Tractor Open. The tractor, closed, is passed through the opening in the urethra,into the bladder up beyond the prostate mass, and its blades thenspread by turning the arm at the handle. With this instrument theprostate mass is drawn down into the incision in the j)erineum andits entire posterior surface and base exposed. The rectum may bedrawn back toward the coccyx, out of the wsij, with a broad fibrous sheath of the prostate is incised on either sideaccording to the method of Young, and the prostate mass incisions are made, one on either side of the middle line,extending nearly the entire length of the prostate and about 1 The two incisions approach each other in front, being cm. apart anteriorly and cm. posteriorly. The bridge of tissuebetween these two incisions corresponds to the course of the ejaculatoryducts and its preservation is necessary if the duets are to be saved from OPERATIONS UPON THE PROSTATE. 701. Fig. 316.—Perineal Prostatectomy (Young). Membranous urethra opened justanterior to prostate and tractor introduced. Incision through the sheath ofprostate. Detaching the sheath from the right lobe with the blunt dissector. 702 URINARY SYSTEM. injur)^ The incisions, being 1 cm. deep, reach into the substance ofthe prostate beyond the level of the ducts and close to the sides of theurethral canal. The fibrous sheath is separated from the prostate with the bluntdissector. It is important to start in the correct line of this step of the operation progresses the lobe is drawn more andmore out of its sheath. The urethra is then detached from the glandfirst on one side and then on the other, drawing down with the tractor
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
