Preparatory and after treatment in operative cases . Fig. 3G2.—Chemise Catheter. (Bryant.) 576 OPERATIONS ON THE BLADDER AND PROSTATE GLAND (Fig. 363). In either instance the drain is connected with a longrubber tube by means of a glass connection and the latter is ledinto a vessel. The bladder is lavaged twice daily, employing a solution of. Fig. 363. -Lateral Drainage or Bladder after CrescentricApproach to Prostate Gland. potassium permanganate, 1 in 1,000, for the purpose. Carbolicacid or corrosive sublimate should not be used except that, per-haps, in cases of severe infection the former
Preparatory and after treatment in operative cases . Fig. 3G2.—Chemise Catheter. (Bryant.) 576 OPERATIONS ON THE BLADDER AND PROSTATE GLAND (Fig. 363). In either instance the drain is connected with a longrubber tube by means of a glass connection and the latter is ledinto a vessel. The bladder is lavaged twice daily, employing a solution of. Fig. 363. -Lateral Drainage or Bladder after CrescentricApproach to Prostate Gland. potassium permanganate, 1 in 1,000, for the purpose. Carbolicacid or corrosive sublimate should not be used except that, per-haps, in cases of severe infection the former may be used at con-siderable intervals, and only in moderate strength (1 in 250).The packing should be removed at the end of forty-eight hoursand is not renewed, being only employed with the view of con-trolling bleeding. When the crescentric approach is made, packingis usually not introduced. The drain is affixed to the edge of thewound by a catgut stitch, and the wound closed with interruptedsilk-worm gut sutures. Most surgeons of wide experience placethe patient in the sitting posture as soon as the effects of the nar-cosis have disappeared. This would seem rational in view ofthe fact that drainage is best conserved in this way and, also, that PERINEAL PROSTATECTOMY 577 elderly persons develop very readily a low grade of pneumoniaw
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