. The principles and practice of modern surgery. hat which common consent hasdecided to be the best, except in a few rare instances. There are aninfinity of minute variations in the manner of performing it, and in theinstruments employed by different surgeons. In the following descriptionthe author avails himself principally of the directions given by Sir , Mr. Liston, and Mr. Fergusson. Lateral Operation.—It is advisable that the bowels should be clearedon the morning of the operation with a simple enema. The bladdershould be moderately full, and if the patient has recently emptied it
. The principles and practice of modern surgery. hat which common consent hasdecided to be the best, except in a few rare instances. There are aninfinity of minute variations in the manner of performing it, and in theinstruments employed by different surgeons. In the following descriptionthe author avails himself principally of the directions given by Sir , Mr. Liston, and Mr. Fergusson. Lateral Operation.—It is advisable that the bowels should be clearedon the morning of the operation with a simple enema. The bladdershould be moderately full, and if the patient has recently emptied it, afew ounces of water may be injected. It is also desirable that theexistence of the stone should be clearly demonstrated with the sound orstaff, immediately before the operation. Then the proceedings may com-mence by introducing the staff-—a solid steel rod like a sound, with adeep groove either on its convex border, or, as some surgeons prefer it,a little on its left side. It should be as large as can be convenientlyintroduced. Fig. The next point is to place the patient in a convenient posture. Heshould be placed on his back, on a table two feet and a half high, withhis shoulders resting in the lap of an assistant, who sits astride behindhim. Then, in order to expose the perineum thoroughly, he must bemade to raise and separate his thighs; and to grasp the outside of eachfoot with the hand of the same side; and the hand and foot are to befirmly bound together by a broad garter;—meanwhile, if not done before,the perineum should be shaved. The surgeon may, says Mr. Fergusson,pass his left forefinger well oiled into the rectum, to ascertain the size ofthe prostate, and its depth from the surface; he should also explore withhis fingers the surface of the perineum, and the position of the rami andtuberosities of the ischia. Everything being now prepared, an assistant on each side holding thethighs firmly asunder—another being at hand to give the surgeon hisinstrume
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
