. Manual of operative surgery. o contraction. Various materials have been used totake the place of skin in the Nove-Josserand operation. Schmieden has im-planted a ureter obtained during an operation for hydronephrosis; experi-mentally an artery has been utilized. Tanton published in 1909 an experi-ment in which he replaced the urethra by implanting a segment of vein. Tan-ton, Tuflier, Stettiner, have applied this experimentto man and have been successful (Journal deChir., June, 1910). The operation for the posterior penile type ofhypospadias is performed in two stages at an inter-val of from
. Manual of operative surgery. o contraction. Various materials have been used totake the place of skin in the Nove-Josserand operation. Schmieden has im-planted a ureter obtained during an operation for hydronephrosis; experi-mentally an artery has been utilized. Tanton published in 1909 an experi-ment in which he replaced the urethra by implanting a segment of vein. Tan-ton, Tuflier, Stettiner, have applied this experimentto man and have been successful (Journal deChir., June, 1910). The operation for the posterior penile type ofhypospadias is performed in two stages at an inter-val of from two to five weeks. First Stage.—(a) Correct the chordee as already described. (b) Provide for suprapubic drainage through as small an incision as possibleand without suturing the bladder to the skin. Keep the bladder clean byfrequent irrigations with a mild antiseptic solution. Change the drainage tubeat intervals as it becomes encrusted with urinary salts. Second Stage.—(a) Excise a segment of the internal saphenous Fig.
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