Surgery; its theory and practice . child, and send him back tobed as quickly as possible. If thereis haemorrhage, tie any bleeding pointwhich is seen, or if the blood comesfrom the deep part of the wound, in-troduce the petticoated tube (), assuring yourself that the end isin the bladder by injecting water andpassing a probe through it. Then plug firmly round with stripsof lint between the petticoat and the tube. At Guys Hospital lateral lithotomy is performed on a straightstaff, by the operation known as Keys, A good description ofthe method will be found in Bryants Surgery. The si7-uc
Surgery; its theory and practice . child, and send him back tobed as quickly as possible. If thereis haemorrhage, tie any bleeding pointwhich is seen, or if the blood comesfrom the deep part of the wound, in-troduce the petticoated tube (), assuring yourself that the end isin the bladder by injecting water andpassing a probe through it. Then plug firmly round with stripsof lint between the petticoat and the tube. At Guys Hospital lateral lithotomy is performed on a straightstaff, by the operation known as Keys, A good description ofthe method will be found in Bryants Surgery. The si7-uctiires divided in the operation are:—i, the skin; superficial and deep fascia; 3, a few branches of the externalhaemorrhoidal vessels and nerves; 4, the transversus perineimuscle, vessels and nerve; 5, a few fibres of the accelerator urinaeand levator ani muscles; 6, the compressor urethrge muscle; 7,the membraneous portion of the urethra; and 8, the prostate. The dangers of the operation are ;—A. Before the point of the. Petticoated tube. 694 DISEASES OF REGIONS. knife has entered the groove in the staff—i, wounding the rectum,either from cutting too perpendicularly, or from not having had itcleared out by an enema ; 2, wounding the artery of the bulb inconsequence of beginning the incision too high, or directing thepoint of the knife subsequently too much upwards; and 3, miss-ing the groove in the staff. B. On entering the bladder—i, let-ting the point of the knife slip out of the groove in the staff andenter the cellular tissue between the bladder and rectum; 2, cut-ting the pudic artery from holding the knife too much lateralized ;3, sending the point of the knife through the posterior wall of thebladder ; 4, cutting the prostate too widely, and dividing its cap-sule, whereby the urine may be extravasated into the cellulartissue of the pelvis; 5, wounding the prostatic plexus of veins; 6,tearing the urethra across, and so pushing the bladder off the endof the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
