A hand-book of surgery: with fifty illustrations . he dottedline of the drawing (Fig. 24), of about three inches in length,commencing about one inch behind the scrotum, and extendingdownwards and outwards to a point between the anus and tubero-sity of the ischium, and even beyond it. Various measurementsare given by different surgeons as to the point at which this is to becommenced. No well-informed surgeon should depend upon anabsolute measurement, on account of the difference which exists indifferent patients, with reference to the size and depth of the peri-neum. He should inform himself of
A hand-book of surgery: with fifty illustrations . he dottedline of the drawing (Fig. 24), of about three inches in length,commencing about one inch behind the scrotum, and extendingdownwards and outwards to a point between the anus and tubero-sity of the ischium, and even beyond it. Various measurementsare given by different surgeons as to the point at which this is to becommenced. No well-informed surgeon should depend upon anabsolute measurement, on account of the difference which exists indifferent patients, with reference to the size and depth of the peri-neum. He should inform himself of the probable size of the pros-tate gland by an examination per anum, and then, by his anatomicalknowledge, make his incision so as to expose the membranous por-tion of the urethra, taking care not to cut the bulb of the corpusspongiosum in front and the rectum behind. Having cut through 8^ 90 SURGERY. the skin and superficial fascia of the perineum, which is very thick,especially in fat persons, the transversus perinei muscle, the trans-Fig. versus perinei artery, the lower edge of the triangular ligament,and it may be a few fibres of the levator ani muscle, must then be Fig. 25.
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License: Licensed
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
