Preparatory and after treatment in operative cases . ly present at the time of the opera-tion, the bladder may be thoroughly lavaged with the potassiumpermanganate solution just previous to section, and this replacedwith saline solution before the operation is begun. TEMPORARY SUPRAPUBIC DRAINAGE Temporary suprapubic drainage of the bladder is establishedfollowing opening of the bladder in this situation. This is truewhether the section has been made for the removal of stone, tu-mors, or for prostatectomy. For the purpose the bladder wall isinverted around a rubber catheter, which in turn is c
Preparatory and after treatment in operative cases . ly present at the time of the opera-tion, the bladder may be thoroughly lavaged with the potassiumpermanganate solution just previous to section, and this replacedwith saline solution before the operation is begun. TEMPORARY SUPRAPUBIC DRAINAGE Temporary suprapubic drainage of the bladder is establishedfollowing opening of the bladder in this situation. This is truewhether the section has been made for the removal of stone, tu-mors, or for prostatectomy. For the purpose the bladder wall isinverted around a rubber catheter, which in turn is connectedwith an appropriate vessel by means of a long tube. As the angleat which the drainage tube enters the bladder is that of about90 degrees to the body, the tube is likely to kink and become ob-literated. In addition to this, the elasticity of the bent tubemakes tension on the sutures, objections which should be over-come. For the purpose it is best to use an angular catheter ( j. The intravesical portion may be made shorter as the con-. Fig. 351.—Angular Double Flow Soft Catheter for Suprapubic Drainage of Bladder. ditions present, so that when introduced the angle of the deviceis a little above the level of the skin. The bladder may be lavagedthrough one tube, and the fluid flows out through the other,though care must be exercised not to inject a sufficient quantityof fluid to bring strain upon the sutures. To obviate the latter contingency and, indeed, to removethe objections mentioned in all respects, suprapubic drainageof the bladder may be made by means of the device shown in 568 OPERATIONS ON THE BLADDER AND PROSTATE GLAND Fig. 352. The largest tube drains the bladder, and the angular at-tachment, the glass tube, is connected with a longer one draining in-
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
