Clinical lectures on stricture of the urethra and other disorders of the urinary organs . immediate andultimate effect upon our cases, than any we had ever seen beforeits introduction. The instruments required are as follows :lithotomy bandages ; a special staff, fully grooved through thegreater part, but not through the whole, of its extent, the lasthalf inch of the groove being stopped, and terminating in arounded button-like end (Fig. 12); an ordinary scalpel; two Fig. 12. pairs of straight-bladed forceps, nibbed at the points; ordinaryartery , forceps and ligatures; sponge; a well-grooved
Clinical lectures on stricture of the urethra and other disorders of the urinary organs . immediate andultimate effect upon our cases, than any we had ever seen beforeits introduction. The instruments required are as follows :lithotomy bandages ; a special staff, fully grooved through thegreater part, but not through the whole, of its extent, the lasthalf inch of the groove being stopped, and terminating in arounded button-like end (Fig. 12); an ordinary scalpel; two Fig. 12. pairs of straight-bladed forceps, nibbed at the points; ordinaryartery , forceps and ligatures; sponge; a well-grooved andfinely probe-pointed director; Teales probe-gorget (Fig. 13);a straight probe-pointed bistoury; a short silver catheter(No. 10 or 11 gauge), with elastic tube attached. The patient is placed in lithotomy position, with thepelvis a little elevated, so as to permit the light to fall wellupon it, and into the wound to be made. The staff is to be SEVENTH LECTURE. 75 introduced with the groove looking towards the surface, andbrought gently into contact with the stricture. It should not. Fig. 13. be pressed much against the stricture, forfear of tearing the tissues of the urethra,and causing it to leave the canal, whichwould mar the whole after-proceedings,which depend upon the urethra beingopened a quarter of an inch in front ofthe stricture. Whilst an assistant holds thestaff in this position, an incision is madeinto the perinseum, extending from opposite the point of reflec-tion of the superficial perinseal fascia to the outer edge of thesphincter ani. The tissues of the permseum are to be steadilydivided until the urethra is reached. This is now to be openedin the groove of the staff, not upon its point, so as certainly tosecure a quarter of an inch of healthy tube immediately in frontof the stricture. As soon as the urethra is opened, and thegroove in the staff fully exposed, the edges of the healthyurethra are to be seized on each side by the straight-bladednibbed forceps, a
Size: 1834px × 1362px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, bookpu, booksubjecturinaryorgans
