A hand-book of surgery: with fifty illustrations . versus perinei artery, the lower edge of the triangular ligament,and it may be a few fibres of the levator ani muscle, must then be Fig. divided. By an examination with the finger, the staff may now befelt in the urethra. By means of the finger and nail this spaceshould be increased, and the urethra opened by a bistoury, whichwill be indicated by a flow of urine. The gorget should now beintroduced into the wound, with its beak securely fixed in thegroove; it is then pushed in the direction of the bladder, cutting 91 through it
A hand-book of surgery: with fifty illustrations . versus perinei artery, the lower edge of the triangular ligament,and it may be a few fibres of the levator ani muscle, must then be Fig. divided. By an examination with the finger, the staff may now befelt in the urethra. By means of the finger and nail this spaceshould be increased, and the urethra opened by a bistoury, whichwill be indicated by a flow of urine. The gorget should now beintroduced into the wound, with its beak securely fixed in thegroove; it is then pushed in the direction of the bladder, cutting 91 through its neck and prostate gland. Care must be taken to depressthe handle of the gorget whilst making this thrust, for fear ofwounding the rectum. Urine gushes out, the gorget is carefullyremoved, for fear of wounding the internal pudic artery, and thefinger introduced into the bladder to discover the stone, its position,and size. A strong pair of forceps are then introduced, and thestone grasped in such a way that its short diameter shall engage inthe wound, whence it is to be delivered slowly and gradually. If it be impossible to remove the stone through this opening, itmay be enlarged with
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
