. Modern surgery, general and operative. hekidney the pain mduced by the distention is similar to that from which thepatient has suffered (Howard A. Kelly). If a stone be present in the ureterthe .v-ray picture will usually reveal it, but here again there may arise doubt as tothe exact course of the canal. Catheters passed into the ureters, each catheterwith a lead wire in it, can be skiagraphed, and the radiographer will be able todetermine the exact course of the ureters. Instead of a catheter containing awire the .v-ray catheter of Eynard may be used. Fig. 958 shows the practicalutility of
. Modern surgery, general and operative. hekidney the pain mduced by the distention is similar to that from which thepatient has suffered (Howard A. Kelly). If a stone be present in the ureterthe .v-ray picture will usually reveal it, but here again there may arise doubt as tothe exact course of the canal. Catheters passed into the ureters, each catheterwith a lead wire in it, can be skiagraphed, and the radiographer will be able todetermine the exact course of the ureters. Instead of a catheter containing awire the .v-ray catheter of Eynard may be used. Fig. 958 shows the practicalutility of such manipulation. Phleboliths, fecal masses, appendoliths, concre-tions, and calcified lymph-nodes have been mistaken for ureteral stone even aftera study of skiagraphs (page 1618). Appendices have been removed when thesource of trouble has been impacted stone in the right ureter. In 3 casesseen by Stellwagen appendectomy had failed to cure. In each case a stone wassubsequently removed from the ureter and the patient cured. An impacted. Fig. 958.—X-ray photograph, showing the course of the ureters by wires in the catheters.(Taken by Dr. W. F. Manges.) Stone in the ureter may often be dislodged by passing a catheter into the ureterand, if possible, beyond the stone. Through the catheter are then injecteda few minims of sterile olive oil which act as a lubricant and assist in the passageof the stone. Dilatation of the ureteral orifice, by leaving the catheter in situor by passing a second instrument alongside of the first, will often cause thestone to pass into the bladder. Disinfection of Urethral Catheters.—Metallic instruments are cleansedby boiling. Soft-rubber and elastic catheters can be sterilized by mechanicalcleansing with soap and water and by boUing for five minutes. The commoncustom of immersing a soft-rubber or elastic catheter for five minutes in a1:2000 solution of corrosive sublimate is a useless waste of time, as such aprocedure will not sterilize an infecte
Size: 1556px × 1605px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
