. A Complete practical work on the nature and treatment of venereal diseases, and other affections of the genito-urinary organs of the male and female ... ldom that a ligature is needed to arrest hemorrhage. The integuments and the mucosa membrane of the prepuce ?Onetimes separate, leaving a large raw surface. To prevent tins, a small sutureshould be passed between the membrane and skin oil earh side of the wound. Onthe second or third day the cellular tissue will have become consolidated, so as notto allow of retraction, and the suture may be removed. For the final few days afterwards, emolli
. A Complete practical work on the nature and treatment of venereal diseases, and other affections of the genito-urinary organs of the male and female ... ldom that a ligature is needed to arrest hemorrhage. The integuments and the mucosa membrane of the prepuce ?Onetimes separate, leaving a large raw surface. To prevent tins, a small sutureshould be passed between the membrane and skin oil earh side of the wound. Onthe second or third day the cellular tissue will have become consolidated, so as notto allow of retraction, and the suture may be removed. For the final few days afterwards, emollient poultices should be applies!. It may then l>e necessary for the promotion of the healing of the cut surfaces, to use aily stimulating lotion. CKdema of the prepuce, should it remain, may be got ridof by bandaging. P>\ this operation all the inconvenience of phymosis is avoided. The skin willretract readily behind the glans, and there is not the awkward loose flaps that resultfrom making the incision on the top or side. The operation by circumcision, as it may be seen in the cut, was first performedby Ricord, and is conducted as follows:. First period. The penis being relaxed, without stretching the skin which formsthe prepuce, a line is drawn with ink, which marks, in all its circumference, the ob-lique direction of the base of the glans, and about an eighth of an inch from it. Second period. The prepuce is next drawn forward and fixed between theblades of a common dressing forceps, placed directly before the glans, behind theinked line, and held by an assistant. 252 PHYMOSIS AND PARAPHYMOSIS. Third period. The portion of the prepuce which projects beyond the forceps, isto be held by the operator with his left hand, whilst with his right he makes an in-cision with a bistoury, following the line traced with the ink. Fourth period. After this section, the mucous lining, which by its anatomicaldisposition does not allow of its being drawn forward, like the skin, remains
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