Plastic surgery; its principles and practice . 123 Fig. 295.—Russells operation for hypospadias, continued.— i. The line AA indicatesthe fine ridge which separates the mucous membrane of the perineal urethra from the skinof the scrotum. The surface line of the skin of the perineum BB overlaps the urethralopening at its lowest point. 2. The overlapping portion is released by a short medianincision which exposes the lower portion of the perineal urethra and forms a small quadri-lateral raw surface as is indicated by the shaded area. 3. The shaded area indicates theamount of skin excised around t


Plastic surgery; its principles and practice . 123 Fig. 295.—Russells operation for hypospadias, continued.— i. The line AA indicatesthe fine ridge which separates the mucous membrane of the perineal urethra from the skinof the scrotum. The surface line of the skin of the perineum BB overlaps the urethralopening at its lowest point. 2. The overlapping portion is released by a short medianincision which exposes the lower portion of the perineal urethra and forms a small quadri-lateral raw surface as is indicated by the shaded area. 3. The shaded area indicates theamount of skin excised around the perineal mucous membrane. Note that the skin adjacentto the upper fourth of the mucous membrane is not disturbed, as otherwise undue narrow-ing of the urethra would follow. (2) The surface line of the skin of the PERiNEUMn (bb),Fig. 295,1, which overlaps AA posteriorly more than is show in thediagram. Between these two lines, A A and BB, there is an area ofskin, broad behind and gradually narrowing anteriorly, that is to beremoved, lea


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky