Operative surgery . pension of judg-ment while abiding the outcome of still further demonstration. 1144 OPERATIVE SURGERY. Prostatic Abscess.—Prostatic abscess is preceded usually by an acuteparenchyuiatous inflammation of tbe prostate body. The common directionsof pointing of the abscess are toward the urethra, rectum, and the they point in the inguinal or the obturator region; sometimesin the sjiace of Retzius and the peritoneal cavity. Prostatic abscess shouldbe opened and drained as soon as the diagnosis is made, in order to forestallthe escape of the pus into either
Operative surgery . pension of judg-ment while abiding the outcome of still further demonstration. 1144 OPERATIVE SURGERY. Prostatic Abscess.—Prostatic abscess is preceded usually by an acuteparenchyuiatous inflammation of tbe prostate body. The common directionsof pointing of the abscess are toward the urethra, rectum, and the they point in the inguinal or the obturator region; sometimesin the sjiace of Retzius and the peritoneal cavity. Prostatic abscess shouldbe opened and drained as soon as the diagnosis is made, in order to forestallthe escape of the pus into either of the places already indicated. lite Operation (Dittel and Zuckerkandl).—Evacuate and cleanse therectum ; shave and scrub the perinseum; place the patient in the position forperineal lithotomy; introduce a large sound into the bladder and give it incharge of an assistant; pass the left index finger into the rectum; begin aconvex incision at the right between the tuber ischii and the rectum, and ??^x ^ .^-^li. Fig. 1330.—Curved transverse incision of perinjeinn for access to prostate, seminal vesicles,etc. Curve should conforai to outline of incision in Fig. 1331 in latter instances ofaccess. carry it forward to the posterior limit of the bulbous urethra, thence sym-metrically backward to a point at the opposite side corresponding to that ofstarting (Fig. 1330); divide the superficial fascia of the perineum along the OrERATlONS UN TlIK LKINARV BLADDER. 1145 line of incision and enter the isehio-rectal fossa at either side (Fig. 1331);separate the llap anil turn it backward as far as the lower surface of thesphincter aiii muscle; push at the same time the hiemorrhoidal vessels and
Size: 1488px × 1678px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
