The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . e is tied about the root of the penis andscrotum, and about twenty minims of a five-per-centsolution of cocaine are injected along the prospectiveline of incision. The skin and dartos are incised forabout two inches, and the exposed tunica is opened. A^Tiiustratkig^oiT grooved director is slipped into the sac, which is thenmanns operation gij^ open, this incision being somewhat shorter than the for hydrocele. ^ ^, . -, ,_ •l^ cutaneous one. The sac is mopped out with a spong
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . e is tied about the root of the penis andscrotum, and about twenty minims of a five-per-centsolution of cocaine are injected along the prospectiveline of incision. The skin and dartos are incised forabout two inches, and the exposed tunica is opened. A^Tiiustratkig^oiT grooved director is slipped into the sac, which is thenmanns operation gij^ open, this incision being somewhat shorter than the for hydrocele. ^ ^, . -, ,_ •l^ cutaneous one. The sac is mopped out with a spongedipped in a five-per-cent solution of carbolic acid. After this the tunica isstitched to the skin by a continuous suture of fine catgut. A small drain-age-tube is inserted and secured from slipping in by transfixion with asafety-pin. The constricting rubber band is removed, and the scrotum isheld compressed between two sponges for a few minutes to stanch any pos-sible hgemorrhage. A small strip of disinfected rubber tissue is laid on thewound, which is enveloped, together with the entire scrotum, in a dry dress-. SPECIAL APPLICATION OF THE ASEPTIC METHOD. 151 ing, held, down by a roller baudage applied in the manner described in theparagraph on herniotomy. (Fig. 121.) The dressings are changed on the tenth day after the operation. Onthe second day the movement of the bowels is attended to by enema or laxa-tive. On changing the dressings the patient can be permitted to get up andto exercise moderately. The wound is dressed with a stri^D of iodoformedgauze until it is healed. 2. Varicocele of a moderate degree is best treated according to Keyessplan, which consists of subcutaneous ligature of the distended veins withcatgut. The scrotum being cocainized, the cord is separated from the vari-cose veins, and is held in the grasp of the thumb and index of the left hand,the patient standing during the procedure. A straight Peaslees needle,armed with a loop of silk, is thrust through
Size: 1262px × 1979px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
