. Manual of operative surgery. 42^. Fig. 830.—Van Hooksure-teral anastomosis. plish in the male than in the female, so far as the pelvic segment of the ureter isconcerned; the broad ligament interferes considerably in the female. (C) Transperitoneal Route with Extraperitoneal Ureterocystostomy (Witzelsoperation).—Open the abdomen by a median incision in the the peritoneum over the iliac vessels, separate the peritoneum fromthe subjacent structures by blunt dissection. The ureter will be found unitedto the peritoneum and elevated with it. Make slight upward traction on 672 O
. Manual of operative surgery. 42^. Fig. 830.—Van Hooksure-teral anastomosis. plish in the male than in the female, so far as the pelvic segment of the ureter isconcerned; the broad ligament interferes considerably in the female. (C) Transperitoneal Route with Extraperitoneal Ureterocystostomy (Witzelsoperation).—Open the abdomen by a median incision in the the peritoneum over the iliac vessels, separate the peritoneum fromthe subjacent structures by blunt dissection. The ureter will be found unitedto the peritoneum and elevated with it. Make slight upward traction on 672 OPERATIONS ON THE URETER the ureter to make it prominent and recognizable low down, in the broadligament. By a second incision in the broad ligament expose the ureter;divide it; ligate and cauterize the opening in the lower segment. Pull theupper segment up to and out of the original incision over the iliac a long forceps guided behind the peritoneum to the side of the vesicalregion above the linea innominata, throu
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