Operative surgery . hebulb. The relation of these several vessels to the cutting operation for stoneshould be carefully considered before operation is begun. The fascia of theperinaium is of great anatomical importance in connection with the coursetaken by extravasated urine (Fig. 1378). If the extravasation happen betweenthe anterior and posterior layers (a, a) of the triangular ligament the mem-branous urethra is at fault, and the extravasation is limited at first to the deeptriangular space ; if the fluid lie just in front of this ligament, it promptlyextends over the scrotum and penis on t


Operative surgery . hebulb. The relation of these several vessels to the cutting operation for stoneshould be carefully considered before operation is begun. The fascia of theperinaium is of great anatomical importance in connection with the coursetaken by extravasated urine (Fig. 1378). If the extravasation happen betweenthe anterior and posterior layers (a, a) of the triangular ligament the mem-branous urethra is at fault, and the extravasation is limited at first to the deeptriangular space ; if the fluid lie just in front of this ligament, it promptlyextends over the scrotum and penis on to the abdomen, but is limited behindand at the sides to the base and borders of the perineum ; it does not extendon to the thighs. If tlie fluid lie in front of the superficial perineal fascia, itthen extends beneath the superficial fascia of the periupeum in all course, after suppuration occurs the distinctive importance of the fascialarrangement promptly disappears. In a thin perineum the base of the. 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


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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya