Operative gynecology : . ll to vary these irri-gations with the milder boric acid solutions, using them on alternate days, orone in the morning and the other in the evening. Weak solutions of carbolic acid, not stronger than 1-J per cent, often dogood service. When the distressing symptoms have cleared up and the urinestill remains purulent, Mr. ISTunn (Lancet, Feb. 23, 1878) recommends the useof a quinin wash, beginning with one grain of the neutral sulphate to the ounceof water, with one drop of muriatic acid. When the urine remains alkaline and there is a tendency to throw downphosphates, M
Operative gynecology : . ll to vary these irri-gations with the milder boric acid solutions, using them on alternate days, orone in the morning and the other in the evening. Weak solutions of carbolic acid, not stronger than 1-J per cent, often dogood service. When the distressing symptoms have cleared up and the urinestill remains purulent, Mr. ISTunn (Lancet, Feb. 23, 1878) recommends the useof a quinin wash, beginning with one grain of the neutral sulphate to the ounceof water, with one drop of muriatic acid. When the urine remains alkaline and there is a tendency to throw downphosphates, Mr. R. Harrison (Twentieth Century Practice, vol. i, p. 239)recommends irrigation with 5 to 10 grains of citric acid dissolved in a pint ofwarm water. The technique of the irrigation is as follows: The patient is put on a table,or if she is too weak she is brought to the edge of the bed with the thighsflexed and the buttocks resting on a perineal drainage pad ; the parts are then 458 AFFECTIONS OF THE URETHRA AND Fig. 273.—Two-way Catheter for Washingout the Bladder. The fluid enters and returns in the direction of the arrows. freely washed with a weak boric acid solution, particular care being taken toremove all visible foreign material from the urethral orifice. As an irrigating apparatus I use a simple glass funnel connected with aglass catheter by a piece of rubber tubing four feet long. A clip or a pair offorceps on the tubing controls the flow of the fluid. Unless the person givingthe injection can be relied upon to do it skillfully, it is better to use a rubbercatheter in place of a glass one, which may bruise the tissues. The solution is now poured into the funnel, and allowed to run down andfill the tube and catheter; the injection of any air must be avoided, because itis painful. The catheter is then introduced into the bladder and the funnel held high enough to forcethe fluid slowly into thebladder; after waiting awhile the funnel is nowdropped below the l
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
