Operative surgery . ten or twelveounces of warm water and clamp the tube. Introduce into the bladder ten or fifteen ounces of a warmsolution of boric acid, carefully noting the ascent of the bladder and arrest-ing the flow as soon as the organ is suitably distended. Withdraw the cathe-ter and close the penis with a rubber band, or clamp the catheter and applythe band as before. The bladder is then exposed and opened in the manner described under suprapubic cystotomy (page 415). Extract the stone carefully (Fig. 1410), examine for another, and for the presence ofdebris; remove the con-striction
Operative surgery . ten or twelveounces of warm water and clamp the tube. Introduce into the bladder ten or fifteen ounces of a warmsolution of boric acid, carefully noting the ascent of the bladder and arrest-ing the flow as soon as the organ is suitably distended. Withdraw the cathe-ter and close the penis with a rubber band, or clamp the catheter and applythe band as before. The bladder is then exposed and opened in the manner described under suprapubic cystotomy (page 415). Extract the stone carefully (Fig. 1410), examine for another, and for the presence ofdebris; remove the con-striction from the penisand wash out the blad-der through the urethra,if washing be or not the bladder shall be sutured and the abdominalwound closed, is a question that has given rise to much discussionand is not yet settled. In children, and in adults with healthybladders and limited adipose deposit, immediate union can be safely prac-ticed, provided the prevesical space be drained through a small opening at. Fig. 1409.—Kubl)er bair IVn- distention of rectum.
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