Modern surgery, general and operative . h soap and water and irri-gated with boric acid or permanganate of potassiiun solution, and the urethrabe irrigated with boric acid solution or permanganate of potassium before thesterile catheter is introduced to draw the urine. If urinary fever arises, it may be possible to control it by frequently irri-gating the bladder with warm normal salt solution, solution of nitrate ofsilver (i : 8000) or boric acid solution, and by administering stimulants, Fig. 921.—Wheelhouses staff. diuretics, diaphoretics, saline cathartics, urotropin, salol or boric acid,
Modern surgery, general and operative . h soap and water and irri-gated with boric acid or permanganate of potassiiun solution, and the urethrabe irrigated with boric acid solution or permanganate of potassium before thesterile catheter is introduced to draw the urine. If urinary fever arises, it may be possible to control it by frequently irri-gating the bladder with warm normal salt solution, solution of nitrate ofsilver (i : 8000) or boric acid solution, and by administering stimulants, Fig. 921.—Wheelhouses staff. diuretics, diaphoretics, saline cathartics, urotropin, salol or boric acid, qui-nin, and nutritious food. In severe cases perform suprapubic cystostomy fordrainage. Perineal section is external perineal urethrotomy. There are threemethods—the operation of Syme, of Wheelhouse, and of Cock. Symes Operation.—This operation is employed if a stricture is verycontractile, if dilatation fails to cure, or if urethral instrumentation invari-ably causes pronounced urethral fever. The patient is anesthetized, Symes. 922.—Teales probe gorget. staff (Fig. 920) is introduced, and the surgeon makes an incision in the mid-line of the perineum and exposes the staff just above the shoulder of theinstrument. The knife is carried along the groove and divides the catheter is passed into the bladder from the meatus and is retained forseveral days, and the woimd is dressed antiseptically. After the catheter hasbeen removed it must be used every six hours until the urine comes entirely bythe meatus. During the rest of the patients life a full-sized sound shouldbe passed at monthly intervals. Hypospadias 1371 Wheelhouses Operation,—This operation is employed for the treament ofimpermeable stricture. Wheelhouses staff (Fig. 921) is passed into the urethrauntil it blocks on the stricture. The perineum is incised down to the staffand in front of the stricture. The edges of the cut urethra are held apartby forceps, the surgeon seeks for the opening through th
Size: 2640px × 946px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
