A practical working handbook in the diagnosis and treatment of diseases of the genito-urinary system, and syphilis : being the revised and enlarged notes, with additions . ch to the floor. Now we bring 112 doughtys genitourinary diseases. the sides of the bladder wound together. / will notfully close the abdominal{p\±)wound—will only sutureit at the upper angle, and will introduce a small drain-age tube into the pubo-vesical space so that it will giveany urine an abundant opportunity to leak out and notburrow, thus preventing infiltration. Continued Drainage.—The urethra and bladdergeneral
A practical working handbook in the diagnosis and treatment of diseases of the genito-urinary system, and syphilis : being the revised and enlarged notes, with additions . ch to the floor. Now we bring 112 doughtys genitourinary diseases. the sides of the bladder wound together. / will notfully close the abdominal{p\±)wound—will only sutureit at the upper angle, and will introduce a small drain-age tube into the pubo-vesical space so that it will giveany urine an abundant opportunity to leak out and notburrow, thus preventing infiltration. Continued Drainage.—The urethra and bladdergenerally will not tolerate drainage through a catheterleft in the penis; the trouble is the neck of the bladderwill not tolerate the catheter if you want to drain fortwo to three months. Also, the urine will well out thetop in preference to coming through that way. A fewsurgeons prefer to drain through the perineum, whichrequires but a small incision. But the patient keepshimself wet, and the iodoform or bichloride gauzedressing has to be constantly renewed [The appended illustration itself sufficiently explainsKeyes device for applying perineal drainage through the. smallest possible perineal incision, after a supra-pubiccystotomy. But Dr. R. H. M. Dawbarn, of New , York, has di-rected attention to a simple and reliable method forsecuring automatic supra-pubic drainage of the blad-der, which should do away in great measure with thenecessity for a double cystotomy—-the lower or perineal DISEASES OF THE BLADDER. 113 of which is made for purpose of drainage only. Thefollowing description of the same will be readily un-derstood by contrast with the douching apparatuspictured on page 20 : The essential parts comprise simply a fountainsyringe, several feet of additional small rubber tubing,and a soft rubber catheter (6). (a) The clamp, which comes with every fountainsyringe, is removed from the end, and is snapped uponthe side of the tube, close up to the bag, so as almostto close
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecturogenitaldiseases
