Plastic surgery; its principles and practice . Fig. 280.—Operation for straightening the penis (C. Beck).— i. The dotted areaon the under surface of the penis is the raw surface formed by straightening the penis aftera transverse incision. The dotted areas on the dorsum of the penis indicate the incisionsmade to form the flap from the prepuce. 2. The double pedicled flap of prepuce A isbrought forward over the glans and is sutured into the defect on the anterior 12 34 Fig. 281.—C. Becks operation for a mild hypospadias {White and Marthi).—i. Theurethral opening at the base of the gla
Plastic surgery; its principles and practice . Fig. 280.—Operation for straightening the penis (C. Beck).— i. The dotted areaon the under surface of the penis is the raw surface formed by straightening the penis aftera transverse incision. The dotted areas on the dorsum of the penis indicate the incisionsmade to form the flap from the prepuce. 2. The double pedicled flap of prepuce A isbrought forward over the glans and is sutured into the defect on the anterior 12 34 Fig. 281.—C. Becks operation for a mild hypospadias {White and Marthi).—i. Theurethral opening at the base of the glans. The dark lines indicate the incisions. 2. Theurethra separated. Note the cuff of skin left around its free end. 3 and 4. The urethradrawn through the slit in the glans and sutured. In these drawings the urethra is strippedso thoroughly that in actual practice it would probably slough. HYPOSPADIAS 319 Several methods of forming the urethra by means of free trans-plants have been introduced. Nove-Josserand tunneled subcuta-neously under the skin from just in front of the urethral opening to theend of the glans. Then after cutting an Ollier-Thiersch graft hewrapped it around a glass rod with the raw side out and secured it ateach end with a ligature. The rod with the graft around it was passedthrough the tunnel and after eight days the rod was this tube and the urethra were connected. Segments of the saphenous vein were used in a similar manner
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
