. Manual of operative surgery. Fig. 837.—Segonds operation.{FarabeuJ.) ECTOPIA VESICA 677 which represents the urethra, and fix them there with sutures. Close thedefect left in the abdominal wall by flaps slid over from its sides. V. Maydls Operation.—Excise all the exposed vesical mucosa exceptthat portion immediately around the orifices of the ureters (Fig. 838). Carefullycleanse the wound and field of operation after the excision of the filthymucous membrane. Open the abdomen. Find the sigmoid and bring a loopof it out of the wound. By stripping, empty the gut of its contents. Apply anintes


. Manual of operative surgery. Fig. 837.—Segonds operation.{FarabeuJ.) ECTOPIA VESICA 677 which represents the urethra, and fix them there with sutures. Close thedefect left in the abdominal wall by flaps slid over from its sides. V. Maydls Operation.—Excise all the exposed vesical mucosa exceptthat portion immediately around the orifices of the ureters (Fig. 838). Carefullycleanse the wound and field of operation after the excision of the filthymucous membrane. Open the abdomen. Find the sigmoid and bring a loopof it out of the wound. By stripping, empty the gut of its contents. Apply anintestinal clamp or tape above and below the part selected for the gut longitudinally. With through-and-through sutures unite theedges of the portion of bladder-wall attached to the ureters to the edges of thewound in the sigmoid (Figs. 839 and 840). Cover this line of suture by a lineof continuous Lembert sutures. The result is that the remnant or ellipse of.


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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherphila, bookyear1921