. Manual of operative surgery. Fig. 856.—{Squier and Heyd, Surg., Gyn. and Obst.)Partial closure of bladder wound. Stab wound for implantation of ureter. Forceps grasping ureter. CYSTECTOMY 697 towards the symphysis until the upper poles of the seminal vesicles are whole fundus of the bladder and the upper portion of the trigone are fullyexposed. The ureters are constantly in sight. There is little bleeding. ^ Stgp 7.—Carefully unite the denuded lamella of the peritoneum to the upperend of the abdominal incision so that all the subsequent procedures are Fig. Ss7-
. Manual of operative surgery. Fig. 856.—{Squier and Heyd, Surg., Gyn. and Obst.)Partial closure of bladder wound. Stab wound for implantation of ureter. Forceps grasping ureter. CYSTECTOMY 697 towards the symphysis until the upper poles of the seminal vesicles are whole fundus of the bladder and the upper portion of the trigone are fullyexposed. The ureters are constantly in sight. There is little bleeding. ^ Stgp 7.—Carefully unite the denuded lamella of the peritoneum to the upperend of the abdominal incision so that all the subsequent procedures are Fig. Ss7-—(Squier and Heyd, Surg., Gyn. and Obsl.)Implantation of divided ureter after partial closure of the bladder. The rest of the operation is sufficiently described by Figs. 852-859 withthe legends under them. Squier and Heyd note that fifteen patients were operated on by their methodin two years with no operative mortality. In the last three the technique was carried out without entering theperitoneal cavity, thereby making the operation entirely addition, approximately the same technique has been utilized for removingcalculi at the lower end of the ureter and for an extensive resection for diver-ticulum of the bladder. 698 OPERATIONS ON THE BLADDER
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