. A manual of operative surgery . means of ashort length of catheter which is intro-duced, the two lateral portions arebrought together, and are united by FIG ^RSchs opera-means of fine silkworm-gut sutures in tion for epispadias (second & stage). the median line (Fig. 150, c). The middle segment carries with it the whole of the mucousmembrane, and its surface is, therefore, not disposed to unitewith the raw surface, which at first forms the roof of the newurethra. Second Stage.—The formation of the penile urethra. Whenthe wound in the glans has healed, and the sutures have beenremoved,
. A manual of operative surgery . means of ashort length of catheter which is intro-duced, the two lateral portions arebrought together, and are united by FIG ^RSchs opera-means of fine silkworm-gut sutures in tion for epispadias (second & stage). the median line (Fig. 150, c). The middle segment carries with it the whole of the mucousmembrane, and its surface is, therefore, not disposed to unitewith the raw surface, which at first forms the roof of the newurethra. Second Stage.—The formation of the penile urethra. Whenthe wound in the glans has healed, and the sutures have beenremoved, and when the urethral canal in the glans has been wellestablished, the second step in the operation is undertaken. An incision is made through the skin and subcutaneoustissues on the dorsum of the penis, on both sides of the urethralgroove. The incision on the right side (Fig. 151, b) is madeclose to the urethral groove. The incision on the left is placedabout half an inch from the left margin of the groove (Fig. 151, a).. 6o6 ABDOMINAL OPERATIONS [PART II
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