Preparatory and after treatment in operative cases . on (Fig. 360). The leg-holders usu-ally employed during operations in this region are dispensed PERINEAL PROSTATECTOMY 575 with, and the lower limbs are held in the position indicated inthe illustration, either by the assistants or. by means of a foldedsheet or similar device which draws the knees toward the pressure of the limbs against the chest and abdomen inter-feres with respiration, and it is at intervals necessary to lowerthe thighs to afford relief. It would seem expedient not to fastenthe legs firmly in the position menti
Preparatory and after treatment in operative cases . on (Fig. 360). The leg-holders usu-ally employed during operations in this region are dispensed PERINEAL PROSTATECTOMY 575 with, and the lower limbs are held in the position indicated inthe illustration, either by the assistants or. by means of a foldedsheet or similar device which draws the knees toward the pressure of the limbs against the chest and abdomen inter-feres with respiration, and it is at intervals necessary to lowerthe thighs to afford relief. It would seem expedient not to fastenthe legs firmly in the position mentioned, but to have them heldby assistants, so that the necessary modification of attitude maybe promptly attained. It is to be borne in mind that narcosis is,at best, not well borne by elderly persons, and that difficulties inthis connection are likely to suddenly arise. When the enucleation is completed, drainage is provided for inall instances. When the section has been made in the medianline, the tube drain is surrounded by an umbrella or chemise. Fig. 361.—Chemise Cannula. (Bryant.) packing. Fig. 361 shows a cannula which is very useful for the purpose, the openings at the distal end being used to fasten tapes which are tied about the body. However, an ordinary catheter arranged in the way shown in Fig. 362 will answer the purpose very well, or the mushroom retention catheter (Fig. 354) may be used. The drain is inserted into the perineal wound to the desired extent, and the chemise is packed with strips of gauze in much the same manner as is done in connection with the Mikulicz tamponade. When the crescentric approach to the gland is employed, the drain is brought out at the side of the wound
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
