Operative surgery . humb and finger may be needed to eliminate the air when the siphonage is broken. Gibsons Method of Drainage.—Gibson, noting the excellent practical out-come of Kaders method of gastrostomy (page 751) in controlling the open-ing into the stomach,applied this practice todrainage of the blad-der with commendableresults. The Operation.—Arubber tube (32 F.) ispassed into the bladderthrough a snug-fittingopening, and the blad-der wall is broughtclosely around it bypassing through thewall at either side () of the tube aLembert suture. Thefirst of the inversion sutures are
Operative surgery . humb and finger may be needed to eliminate the air when the siphonage is broken. Gibsons Method of Drainage.—Gibson, noting the excellent practical out-come of Kaders method of gastrostomy (page 751) in controlling the open-ing into the stomach,applied this practice todrainage of the blad-der with commendableresults. The Operation.—Arubber tube (32 F.) ispassed into the bladderthrough a snug-fittingopening, and the blad-der wall is broughtclosely around it bypassing through thewall at either side () of the tube aLembert suture. Thefirst of the inversion sutures are then introduced (Fig. 1317). These sutures are tied, cut short, and a second set is applied and tied (Fig. 1318), thus increasing the depth of the burial of the tube in the wall (Fig. 1319). The tube is then secured in place by a catgut suture connecting it with the bladder wall. The ends of the second set of sutures are left long and utilized in the closure of the abdominal wound snugly around the tube. Perfect. Fig. 1317.—Drainage of the bladder, Gibsons of inversion sutures in place ready for tying. First UlKliATlUNS UN TIIK LRlNAliV HLADDKK. 1127
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