A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . Fig. 4965. — Fistula shown with Re-tractors and Staff. (Simon.) 175 REFERENCE HANDBOOK OP THE MEDICAL ami knees. If urination is impossible without too muchstraining, the catheter is i)assed at proper intervals. Ailaily vaginal douche is given, and the bowels are kept open. Vesical tenes-mus is relieved by sed-atives. Silk suturescannot be left as longin place as silver wire;they should be re-moved at some timebetween the andthe eigh


A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . Fig. 4965. — Fistula shown with Re-tractors and Staff. (Simon.) 175 REFERENCE HANDBOOK OP THE MEDICAL ami knees. If urination is impossible without too muchstraining, the catheter is i)assed at proper intervals. Ailaily vaginal douche is given, and the bowels are kept open. Vesical tenes-mus is relieved by sed-atives. Silk suturescannot be left as longin place as silver wire;they should be re-moved at some timebetween the andthe eighth days. General Remarks.—The principles andmethods established bythese two great teach-ers, Sims and Simon,can be followed suc-cessfully in all operatorshave mollified manydetails, or have com-bined into a successfidprocedure some of thefeatures of each. Eachoperator follows hisown fancy in regardto the needle or theFIO. 4!»50. -Sutures in Place. (Simon.) needle-holder which he shall use, and the ma-terial of which his ligatures shall be made. Cliiuesesilk, silver wire, iron wire, silkworm gut, and chromi-cized catgut are used indifferently ; but in large fistuhv,and those so situated that they cannot be reached easilyfor fasten


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Keywords: ., bookauthorbuckalberthalberthenr, bookcentury1900, bookdecade1900