. Manual of operative surgery. Fig. 850.—{Squier and Heyd, Surg., Gyn and Obst.)Exposure of left ureter by blunt dissection along the course of the left vas deferens. Step 2.—Continue the incision downwards through the skin and the pyramidales transversely at the pubis. Expose the prevesicalspace but do not interfere with the pubo-vesical attachment at any stage inthe Fig. 851.—{Squier and Heyd, Surg., Gyn. and Obst.)Final separation peritoneum from bladder, exposing both ureters, vasa deferentia and upper pole of trigone. Step 3.—At the lower angle of the peritoneal
. Manual of operative surgery. Fig. 850.—{Squier and Heyd, Surg., Gyn and Obst.)Exposure of left ureter by blunt dissection along the course of the left vas deferens. Step 2.—Continue the incision downwards through the skin and the pyramidales transversely at the pubis. Expose the prevesicalspace but do not interfere with the pubo-vesical attachment at any stage inthe Fig. 851.—{Squier and Heyd, Surg., Gyn. and Obst.)Final separation peritoneum from bladder, exposing both ureters, vasa deferentia and upper pole of trigone. Step 3.—At the lower angle of the peritoneal incision catch the urachus andperitoneum with a forceps protected by rubber tubing (Fig. 848). Pull on theforceps upwards and make prominent the obliterated hypogastric vesselshj-pogastric cords). CYSTECTOMY 695 Step 4.—Pull the left hypogastric cord upwards and to the right. By bluntdissection between the cord and the lateral wall of the pelvis, expose the leftvas deferens as it runs along the pelvic wall to the inner side of the hypogastriccord (Fig. 849).
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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921
