Preparatory and after treatment in operative cases . be made several times areas of tissue frequently undergo sloughing at the site ofthe deep wound, and their removal is much facilitated by the em-ployment of the apparatus shown in Fig. 352. Patients who havebeen subjected to suprapubic removal of the prostate gland are notkept in bed longer thanthe time required for re-covery from the narcosis,but are placed in the sit-ting position at this care of the intra-vesical portion of the g drainage apparatus is \\ taken up more largely -v5— -• under perineal prosta-tectomy (pag
Preparatory and after treatment in operative cases . be made several times areas of tissue frequently undergo sloughing at the site ofthe deep wound, and their removal is much facilitated by the em-ployment of the apparatus shown in Fig. 352. Patients who havebeen subjected to suprapubic removal of the prostate gland are notkept in bed longer thanthe time required for re-covery from the narcosis,but are placed in the sit-ting position at this care of the intra-vesical portion of the g drainage apparatus is \\ taken up more largely -v5— -• under perineal prosta-tectomy (page 573). PERMANENT SUPRAPUBICDRAINAGE FOLLOWINGCYSTOTOMY This measure is em- I j ployed in instanceswhere there is an im-permeable obstruction tothe egress of urine or in ??•?•l-;:ij cases of uncontrollable Fig. 357.—Permanent Suprapubic Drainage CVStitis after drainage for Jure A, Plate fitting against abdomen; J ° B, Plate to go inside belt; C, Rubber tube into Several days has been bladder; D, Rubber tube to urinal. (Keyes.). 572 OPERATIONS ON THE BLADDER AND PROSTATE GLAND made, as described undertemporary bladder apparatus found mostuseful in these cases isshown in Figs. 357 and 357 shows a lateralview of the appliance. It is made of silver andhard rubber. The tube mustbe of sufficient caliber tocarry off thick mucus andclots. A short rubber drain-age tube is slipped over theexteremity A, and this is in-troduced through the fistulainto the bladder. The tube isheld in place by a home-madewashable belt passing outsidethe smaller disk (not betweenthe two), and tight enough topress the inner disk firmlyagainst the skin, so that no urine can es-cape outside of the tube. Continuousdrainage may be maintained by attachingthe outer side of the tube to a leg urinal(Fig. 359). If the bladder will toler-ate a little fluid, it is more convenientto cork the tube and allow hypogas-tric urination at stated intervals.(Keyes.)
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