The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . it be cured at the same time that the retention isrelieved; and, as the incisions do not extend into the bladder, but arelimited to tiie urethra, there is less danger to the patient than when thatAMScus is opened. Another advantage of the perineal incision in these eases is, that itnot unfrequently happens that urinary abscess has begun to form, orthe extravasation of a few drops of urine has taken place sooner thanthe Surgeon may have had any idea of: and if so, the incision throughthe perinseum
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . it be cured at the same time that the retention isrelieved; and, as the incisions do not extend into the bladder, but arelimited to tiie urethra, there is less danger to the patient than when thatAMScus is opened. Another advantage of the perineal incision in these eases is, that itnot unfrequently happens that urinary abscess has begun to form, orthe extravasation of a few drops of urine has taken place sooner thanthe Surgeon may have had any idea of: and if so, the incision throughthe perinseum will afford an exit for any extravasated matters, at thesame time that it relieves the patient from the distress and danger of theretention. Should any mischief of this kind have taken place, it is notnecessary to be so particular about opening the urethra with the knife;for, an aperture having already been established in it, the urine will readilyflow through the artificial channel thus formed by free incision into theinflamed or suppurating perinseum. PUNCTURE OF BLADDER THROUGH RECTUM. 875. Fig. 814.— Seat of Puncturethrough. Kectuin in a case ofStricture. 3. Puncture of the Bladder through the Rectum— After emptying the l)owel by means of an enema, the Snrgeon passes theleft index-finger well into the gut, feeling for the posterior marginof the prostate; lie then carries the trochar and cannula, which arelong- and somewhat curved, upon this as aguide, and, when the extremity of the instru-ment has reached the posterior edge of theprostate, he pushes it upwards into the blad-der (Fig. ^9i). The seat of the puncture be-tween but in front of the ureters is well shownin Fig. 814, wliich represents the bladder andstrictured urethra of a man who died someda3s after tliis operation had been performedfor retention from stricture. In performingthis operation, the Surgeon perforates thebladder in that portion of its fundus which isuncovered by peritoneum, being bounded be-hind b
Size: 1196px × 2090px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative
