The surgeon's handbook on the treatment of wounded in war : a prize essay . JOBERTS suture for the intestine. 30Ji 6. The suture being successfully completed, the piece of intestineis replaced within the abdominal cavity, after it has been carefullycleaned and disinfected. The abdominal wound is also closed withsutures. 0. URETHROTOMY AND LITHOTOMY. 1. Opening the urethra from the perinaeum is urgently called for(Boutonniere, external urethrotomy), when the urethra is injured (con-tused or ruptured), and dangerous urinary extravasation threatens oris already present. 2. A grooved staff or a ca
The surgeon's handbook on the treatment of wounded in war : a prize essay . JOBERTS suture for the intestine. 30Ji 6. The suture being successfully completed, the piece of intestineis replaced within the abdominal cavity, after it has been carefullycleaned and disinfected. The abdominal wound is also closed withsutures. 0. URETHROTOMY AND LITHOTOMY. 1. Opening the urethra from the perinaeum is urgently called for(Boutonniere, external urethrotomy), when the urethra is injured (con-tused or ruptured), and dangerous urinary extravasation threatens oris already present. 2. A grooved staff or a catheter is passed into the bladder; orif that is impossible it is passed as far as the seat of injury, andheld firmly there by an assistant exactly in the middle line. 3. The patient is placed upon his back at the edge of the operatingtable, with his legs widely separated (lithotomy position). Fig. bulbils vrethraart. membranac. 4. The scrotum israised, and the leftindex finger intro-duced within theanus to act as aguide; an incision isthen made, 3—4cmin length, accuratelyin the middle line(raphe) between theanus and the scro-tum. By carefully re-peating the incisions,the deeper structu-res are reached andthe groove of thestaff exposed (). 502 5. If the latter has been successfully passed into the bladder, adirector curved like ^ is now carried by its side into the bladder, andupon it an elastic catheter, after the sound has been removed. Thisis left some (two) clays in the bladder, till the danger of extravasationis over. 6. But if the staff could not be previously introduced, from theurethra being completely torn across, then it is necessary to find thevesical end; this is generally a very difficult operation. 7. While the edges of the wound are held asunder with fineretractors, the operator tries, without employing any force, to pene-trate with a probe i
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