Operative surgery . Fig. 1389.—Chemisecannula. Fig. 1390.—Chemisecatheter. Fig. 1391.—Brownes air tampon andcannula. The principal assistant, who holds the staff, should satisfy himself thatthe sound is in contact with the stone, although it is not necessary that it bepressed against it during the operation. The holder of the staff should stand at the patients left andhug it firmly beneath thepubes with the right hand,while the integument ofthe periiiffium is madetense by drawing up thescrotum with the convexity of the staffshould be easily felt in theperinffium. If the peri-nfeum be
Operative surgery . Fig. 1389.—Chemisecannula. Fig. 1390.—Chemisecatheter. Fig. 1391.—Brownes air tampon andcannula. The principal assistant, who holds the staff, should satisfy himself thatthe sound is in contact with the stone, although it is not necessary that it bepressed against it during the operation. The holder of the staff should stand at the patients left andhug it firmly beneath thepubes with the right hand,while the integument ofthe periiiffium is madetense by drawing up thescrotum with the convexity of the staffshould be easily felt in theperinffium. If the peri-nfeum be thin the groovemay be distinctly definedwith the finger. Some sur-geons have advised that thestaff be pressed against theperingenm, instead of the pubes, that the outline may be the better , it is a matter of little importance which course is taken, as long as. Fig. 1392.—Pritchards anklets and wristlets. OPERATIONS OX THE UKINAKV 1187 tiie pubes are huggetl by the instrument while the incision is being madeinto tiie bladder. The surgeon should sit upon a low stool, and, beforebeginning the incision, carefully map out the location of the bulb and tliepoint where the incision is to begin, also determine the outlines of the ramiand tuber ischii. He then introduces the index linger of the left hand intothe rectum, locates the apex of the prostate, and deterniines its relations tothe sound. The tinger is withdrawn, thoroughly cleansed, and the groovein the staff again located. The Operation.—The incision is commenced a little to the left (one thirdof an inch) of the median rhaphe, from an inch and a quarter to an inch and3k half in front of the anus (Fig. 1402, b). The point of the knife is made toenter the groove at the second or third cut, being guided there by the nailof the index linger of the left hand. The perineal incision
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
