Transactions - American Surgical Association . a quarter of an inch of healthy tube in advance of the stricture;the opening in the urethra being held apart by two pairs offixation forceps, applied one on either side, and the upper angleheld up by the button extremity of the staff hooked in it. Thisopens the urethra and fully exposes the face of the stricture, inwhich the opening is searched for with a probe-pointed director,which, when it enters the bladder, is turned down so that thegroove faces toward the perineum. Then the knife is directed21 322 MASTIN, along the groove and the stricture i
Transactions - American Surgical Association . a quarter of an inch of healthy tube in advance of the stricture;the opening in the urethra being held apart by two pairs offixation forceps, applied one on either side, and the upper angleheld up by the button extremity of the staff hooked in it. Thisopens the urethra and fully exposes the face of the stricture, inwhich the opening is searched for with a probe-pointed director,which, when it enters the bladder, is turned down so that thegroove faces toward the perineum. Then the knife is directed21 322 MASTIN, along the groove and the stricture is carefully and deliberately-opened on its under surface, and the passage thus cleared. Thisbeing accomplished, the probe-gorget of Mr. Teale (Fig. 9) ispassed into the bladder with its concavity looking toward the Fig. pubis, so as to receive the point of a catheter, which is nowintroduced along the urethra until it reaches the gorget, by whichit is conducted into the bladder; the gorget is now removedand the catheter tied in to remain three or four days. After theexpiration of that length of time the catheter is removed, onlyto be reintroduced each day or every second day, so as to keepthe urethra in a state of patency until the wound in the perineumhas thoroughly healed. The operation is ingenious, and, as aform of la boutonniere, it deserves to be recommended; stillit has, t© my mind, the disadvantage which attends all of theseoperations, viz., leaving an extensive wound in the perineum toheal by granulation, exposing the patient to the dangers ofpyaemia, and the liability of urinary fistul^e as a sequence. Avery interesting description of this operation is to be found inthe British Medical Journal for June 24, 1876, from the pen ofMr. Wheelhouse himself The idea has prevailed that, when the ext
Size: 2208px × 1132px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1880
