Operative surgery . Fig. 1377.—Dolbeaus shield to protect the walls ofthe wound during crushing. OlKUATIOXS OX TllK UKINAUV DDKK. 1183 triiUi^uhir li^unuiit van be fulL on (klj) prussuru in front of the is iiu important perineal hmdmai-k, us the inenibrunoiis urethra lies. Fig. 1-378.—Deep surgical anatomy of periniiMiin. bladder, etc. a, a. Space between thesuperficial and deep layers of triangular ligament, b. Space posterior to deep layerof triangular ligament, continuous with Retziuss space, c. Cowpers gland, e. Ket-ziuss space, d. ^Membranous portion of urethra. abo
Operative surgery . Fig. 1377.—Dolbeaus shield to protect the walls ofthe wound during crushing. OlKUATIOXS OX TllK UKINAUV DDKK. 1183 triiUi^uhir li^unuiit van be fulL on (klj) prussuru in front of the is iiu important perineal hmdmai-k, us the inenibrunoiis urethra lies. Fig. 1-378.—Deep surgical anatomy of periniiMiin. bladder, etc. a, a. Space between thesuperficial and deep layers of triangular ligament, b. Space posterior to deep layerof triangular ligament, continuous with Retziuss space, c. Cowpers gland, e. Ket-ziuss space, d. ^Membranous portion of urethra. about three quarters of an inch above this point, and about the same distancebelow the subpubic ligament, as it passes between the layers of the triangularligament (Fig. 1379). The prostatebody is placed in front of the blad-der and around the beginning of theurethra. The shape, dimensions, spe-cial characteristics, and anatomical re-lation of it to the bladder and urethraexercise an important influence onthe surgical technique of ])erineal ap-proach to the bladder, and they oughtto be carefully studied in an accred-ited anatomical work before attempt-ing operation. The bladder is abouttwo inches and a half to three inchesfrom the surface of the perinaeum, Avitli the patient in the lithot
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
