Operative surgery, for students and practitioners . omic catgut. The incision in the peritoneal layerthat covers the ureter is also sutured. A cigarette drain is left inthe abdomen reaching down to the site of the opening in the drainage may be provided by making an incision inthe skin, behind, in the lumbar region, and poking a dressing forcepsthrough from within the abdomen, through the muscles of the lumbarregion. Strip gauze may be dra^\Ti through and thus drain the siteof the incision in the ureter. Under these circumstances the incisionin the anterior abdominal wall m
Operative surgery, for students and practitioners . omic catgut. The incision in the peritoneal layerthat covers the ureter is also sutured. A cigarette drain is left inthe abdomen reaching down to the site of the opening in the drainage may be provided by making an incision inthe skin, behind, in the lumbar region, and poking a dressing forcepsthrough from within the abdomen, through the muscles of the lumbarregion. Strip gauze may be dra^\Ti through and thus drain the siteof the incision in the ureter. Under these circumstances the incisionin the anterior abdominal wall may be closed without drainage. 668 URINARY SYSTEM. A stone impacted in the lower end of the ureter, at or near thevesical orifice may be removed, in the male, through a supra-pubiccystotomy. The ureteral orifice may be incised if necessary in orderto reach the stone. In females stones impacted in the lower part ofthe ureter may be removed through an incision in the wall of thevagina. The ureter is thus exposed and incised and the stoneremoved. ABC. Fig. 301.—Uretero-ureterostomy (Van Hook). A. The end of the upper renalsegment is incised and the corners rounded off. The lower, vesical segment ofthe ureter has been ligated and an incision made in it near the end. B. The endof the upper segment is drawn into the incision in the lower segment with thetractor suture. C. The end of the upper segment has been drawn into theincision in the lower, vesical segment and fixed in position by tying the tractorsuture. A row of sutures is applied which unites the implanted end of theupper segment to the edges of the incision in the lower vesical segment. ?Uretero-Tireterostomy, End-to-side Anastomosis (Van Hook).—This operation is done for the purpose of restoring the ureteralcanal. The lower, vesical end of the ureter is found and one-quarter of an inch below the ligatured end a longitudinalincision is made in the ureter. This incision is equal in length totwice the diamete
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Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
