. Transactions of the Southern Surgical and Gynecological Association. Fig. 7.—After concluding whatever vesical operation it has been neces-sary to do and sewing up the bladder, the recti are approximated bycatgut sutures. The first suture is here Fig. 8.—The fasciaB underlying the recti and the oblique musclesshown divided and retracted in Fig. 3 are here shown united by drain has been dropped into Retzius space to take care of any possiblecontamination. HOWARD A. KELLY 65 operation. It is always unfortunate to be obliged to resortto this expedient, as, if for any reaso
. Transactions of the Southern Surgical and Gynecological Association. Fig. 7.—After concluding whatever vesical operation it has been neces-sary to do and sewing up the bladder, the recti are approximated bycatgut sutures. The first suture is here Fig. 8.—The fasciaB underlying the recti and the oblique musclesshown divided and retracted in Fig. 3 are here shown united by drain has been dropped into Retzius space to take care of any possiblecontamination. HOWARD A. KELLY 65 operation. It is always unfortunate to be obliged to resortto this expedient, as, if for any reason the wound fails to healwell, the sutured muscles and fasciae pull apart, a diastasisis formed, and a bad hernia results. I hit some time ago upon a plan which I believe is a valuableone, and which is new as far as I can ascertain; a plan whichobviates the difficulties mentioned and renders the interiorof the bladder accessible with the utmost ease. The methodwill be best illustrated by a running description of the follow-ing eight diagrams: Fig. 1. The patient is put in the Trendelenburg position,after first emptying and cleaning out the bladder, and intro-ducing a mushroom catheter large enough to fill the semilunar incision is made throu
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