. Modern surgery, general and operative. l cut to enable the finger to approach the prostate, pushes the prostateup toward the belly, and enucleates it from within the bladder. Perineal prostatectomy is less bloody than suprapubic sphincter of the bladder is not damaged, the entire prostate can be brought ?into view and removed, and perfect drainage is obtainable after operation. Nicolls Operation.—Perform suprapubic cystotomy. Then incise the peri-neum doA to the prostate, split the capsule of the prostate, insert two fingersof the left hand into the bladder, and push the pr
. Modern surgery, general and operative. l cut to enable the finger to approach the prostate, pushes the prostateup toward the belly, and enucleates it from within the bladder. Perineal prostatectomy is less bloody than suprapubic sphincter of the bladder is not damaged, the entire prostate can be brought ?into view and removed, and perfect drainage is obtainable after operation. Nicolls Operation.—Perform suprapubic cystotomy. Then incise the peri-neum doA to the prostate, split the capsule of the prostate, insert two fingersof the left hand into the bladder, and push the prostate into the perineum soas to bring it within reach. Enucleate the gland from the perineal woundwithout damaging the mucous membrane of the floor of the bladder. Alexanders Operation.—Alexander makes asuprapubic incision and uses it for the samepurpose as does Nicoll, but he also opens themembranous urethra on a grooved staff. Afterenucleating the gland he inserts a drainage-tubethrough the incision in the membranous Fig. 1015.—Tractor introduced;blades separated; traction made,exposing posterior surface of pros-tate. Incisions in capsule on eachside of ejaculatory ducts (Young).
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
