. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. s which I would have hesitatedto operate by any other method. The continued use of the above method and its gradual extensionled to the elimination of general anesthesia, until now it is used onlyfrom choice and not from necessity, as these cases can be as suc-cessfully operated by local anesthesia as can hernia, rectal, and manyother conditions. The techn
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. s which I would have hesitatedto operate by any other method. The continued use of the above method and its gradual extensionled to the elimination of general anesthesia, until now it is used onlyfrom choice and not from necessity, as these cases can be as suc-cessfully operated by local anesthesia as can hernia, rectal, and manyother conditions. The technic of the procedure is as follows: One hour before operation a suppository, containing 10 gr. of anes-thesia, is placed in the rectum to anesthetize this region and prevent GENITOURINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 583 any discomfort when the finger is introduced here in elevating theprostate. About the same time, one hour before operation, a hypodermic ofmorphin, 5 gr., and scopolamin, jfa gr., is administered to lessenpsychical disturbances. The operation is begun by opening the blad-der under local anesthesia; its walls are then retracted by long, deep,narrow retractors, bringing into view the field of the prostate. De-. Fahest .of Pros Fig. 103.—Authors method for injecting prostate: Lines 1-3 indicate points forinjection above and on side of prostate; 4, beneath prostate, this may at times bemore conveniently made by a curved needle; 5, enters urethral opening, penetratesurethra, and is made between lobes of gland. While the lines show the axis of theinjections with the prostate lying normally in its bed when the injections are made, theprostate is lifted up by a finger in the rectum, so that the needle can be more readilyentered in the proper position through the suprapubic opening. pending upon the size and shape of the prostate, several points areselected for injection on the vesical surface, usually one below theopening of the urethra near the base of the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
