Plastic surgery; its principles and practice . 2 3 Fig. 289.—Bucknalls operation for hypospadias, continued.—i. Shows the penisfixed to the scrotum, and the flaps held together by sutures passed over rubber tubes. Thedotted line indicates the scrotal flap to cover the under surface of the penis when it is dis-sected from the scrotum. 2. Scheme of holding flaps together by means of suturing overrubber tubes. 3. The penis is raised from the scrotum and the raw surface covered withskin flaps. The broad raw area on the scrotum is A B Fig. 290.—Operation for hypospadias (C. H. Mayo).—A. i
Plastic surgery; its principles and practice . 2 3 Fig. 289.—Bucknalls operation for hypospadias, continued.—i. Shows the penisfixed to the scrotum, and the flaps held together by sutures passed over rubber tubes. Thedotted line indicates the scrotal flap to cover the under surface of the penis when it is dis-sected from the scrotum. 2. Scheme of holding flaps together by means of suturing overrubber tubes. 3. The penis is raised from the scrotum and the raw surface covered withskin flaps. The broad raw area on the scrotum is A B Fig. 290.—Operation for hypospadias (C. H. Mayo).—A. i. Scrotum. 2. Glanspenis. 3. Raw surface after raising the skin for the new urethra. 4. Urethral Skin folded to form a tube. B. The pedunculated flap 5 folded in the form of a tube ispassed through a perforation in the glans, and through a tunnel burrowed in the skin onthe under surface of the penis, and is brought out near the old urethra. Later the pedicleis cut and the ends of the tubes are joined. HYPOSPADIAS 327 where it emerges. At the end of ten days the pedicle of the flap is cutthrough close to the new meatus. The second operation, made at alater period, consists of a perineal opening into the urethra and insertionof a Jacobs self-retaining female catheter; this is the least irritatingform of catheter and can be left as long as needed, usually from five toeight days. An incision at the termination of the two urethras nowadmits of accurate coaptation by sutures, or the normal urethra may bemobilized (Beck
Size: 2094px × 1194px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
