. Studies on hypertrophy and cancer of the prostate. side of the central tendon toopen up the space back of the bulb and in front of the levator animuscles as shown in Fig. 10. This blunt dissection should be car-ried well down behind the triangular ligament on each side, beforesectioning any muscular structures. It is easily accomplished and agood exposure simplifies the next step in the operation. Exposure of the mernbranous urethra.—After exposure of the cen-tral tendon by blunt dissection, the bifid retractor (Figs. 11 and 12)is inserted as shown in Fig. 13. Traction upon this instrument g
. Studies on hypertrophy and cancer of the prostate. side of the central tendon toopen up the space back of the bulb and in front of the levator animuscles as shown in Fig. 10. This blunt dissection should be car-ried well down behind the triangular ligament on each side, beforesectioning any muscular structures. It is easily accomplished and agood exposure simplifies the next step in the operation. Exposure of the mernbranous urethra.—After exposure of the cen-tral tendon by blunt dissection, the bifid retractor (Figs. 11 and 12)is inserted as shown in Fig. 13. Traction upon this instrument givesan excellent exposure of the narrow band of central muscle and greatlyfacilitates its division close to the bulb. Great care should be takennot to puncture the bulb—an accident which leads to inconvenientVol. XIV.—2. 18 Hugh H. Young. hemorrhage. After the central tendon has been completely divideda retractor may be placed beneath the bulb, thus affording a better viewof the recto-urethralis muscle, which lies beneath the two branches of. Fig. 11.—Bifid retractor.
Size: 2372px × 1053px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfistula, bookyear1906
