. Annals of surgery . urethra to theposterior angle of thewound with 28-day cat-gut, as shown in Fig. 4. 12. After the pre-liminary posterior sutureI)ass a catheter and com-plete the sutures aroundit (Fig. 5). 13. Close the bladderfrom the juncture of theurethra upward, leavingan opening three-quar-ters of an inch in lengthfor the reception of a drainage tube (Figs. 5 Fig. 3.—shows cut ends of urethra and bladder and cavity fromnnrl fS^ which prostate was removed. 14. Close the sym-physis with heavy silver-wire (Fig. 6). In bothI of these two ]iatients 3| the wires failed to rTOi^ hold; hence


. Annals of surgery . urethra to theposterior angle of thewound with 28-day cat-gut, as shown in Fig. 4. 12. After the pre-liminary posterior sutureI)ass a catheter and com-plete the sutures aroundit (Fig. 5). 13. Close the bladderfrom the juncture of theurethra upward, leavingan opening three-quar-ters of an inch in lengthfor the reception of a drainage tube (Figs. 5 Fig. 3.—shows cut ends of urethra and bladder and cavity fromnnrl fS^ which prostate was removed. 14. Close the sym-physis with heavy silver-wire (Fig. 6). In bothI of these two ]iatients 3| the wires failed to rTOi^ hold; hence it is thought , • ^ tliat a snugly fitting bin- der made of stiflF clothand buckles would an-swer the purpose the case of a recentpatient (not carcinoma)only the binder wasused, and the recoveryand union were satisfac-tory. The binder, shownin l-ig. 7, has beenfcnind quite Place the proper drain and close the wound. .Iftcr-care: When the j)atient is removed from the operating talile he 797. -Preliminary suture approximating cut end of the urcthrposterior angle of wound of bladder. GEORGE WALKER


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885