. Surgery, its principles and practice . ; or (c) the pelvis or kidney of that side. Asymmetry inthe location of ureteral orifices in the bladder is so frequent as to precludereliability of results from segregation. Segregators and Their Application.—The segregator of Harris(Fig. 148) was the first in the field, that of Downes coming next and beingof somewhat simpler construction. For drainage of the urine from thebladder the latter depends on siphonage only, omitting the suction appa-ratus of Harris; aside from which the instruments do not differ tubes through which the urine d


. Surgery, its principles and practice . ; or (c) the pelvis or kidney of that side. Asymmetry inthe location of ureteral orifices in the bladder is so frequent as to precludereliability of results from segregation. Segregators and Their Application.—The segregator of Harris(Fig. 148) was the first in the field, that of Downes coming next and beingof somewhat simpler construction. For drainage of the urine from thebladder the latter depends on siphonage only, omitting the suction appa-ratus of Harris; aside from which the instruments do not differ tubes through which the urine drainage is effected are bound togetherfor the most of their length, but are free at each extremity. They arecapable of being rotated on their axis, which permits their being broughttogether as one catheter, for introduction into the bladder, and then sepa* DIAGNOSIS OF VESICAL AFFECTIONS. 281 rated, giving space for the erection of the water-shed between them,leaving a receptacle on each side from which to drain the individual Fig. 149.—Cathelins Urinary Segregator (Hirst). In carrying out the procedure two conditions must be avoided, elsethe object is defeated: the bladder must be kept at rest, free from con-


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