. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. these methods have become very popular with others,and are rarely if ever used by the author. The methods preferred GENITO-URINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 383 are those described in dealing with the different regions, as de-scribed later. To aneslJietize the inferior pudendal nerve an injection is made onthe outer side of the tuberosity of the i
. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. these methods have become very popular with others,and are rarely if ever used by the author. The methods preferred GENITO-URINARY, ANORECTAL, AND GYNECOLOGIC OPERATIONS 383 are those described in dealing with the different regions, as de-scribed later. To aneslJietize the inferior pudendal nerve an injection is made onthe outer side of the tuberosity of the ischium, where this nervepasses close to the base of the process and between it and the greatsciatic. The needle is entered in the perineum to the inner side of thetuberosity and directed outward and upward, injecting as the needleis advanced to a point over the base of the bone; the injection ismade after the needle is felt to pass the bone about ^-^ inch, usuallyusing about 2 drams of per cent, novocain adrenalin , however, Hke the injection of the pudic, is uncertain. THE PENIS To anesthetize the entire organ a circumferential line of intra-dermal anesthesia is carried around the organ at its root, as seen in. Fig. 95.—Method of procedure for anesthesia of entire penis. (From Braun.) Fig. 95. From this line two deep injections are made about ^^ inchon either side of the midline and carried down to the corpora caver-nosa (Fig. 94), showing the nerve-supply and (Fig. 96) the point ofinjection, using here about i dram of novocain adrenalin solutionor a somewhat more liberal injection of solution No. i. If the contemplated procedure involves the urethra, a smallerquantity of the solution should be injected deep on either side of 384 LOCAL ANESTHESIA this Structure in the sulcus, between it and the corpora a fine needle pierce the urethra in this injection no damage willresult. A small stationers elastic band, used as a constrictor, should
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