File:Operative surgery (1899) (14593583448).jpg

Identifier: operativesurgery02brya (find matches)
Title: Operative surgery
Year: 1899 (1890s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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hards anklets and wristlets. OPERATIONS OX THE UKINAKV I.l.ADDKlC. 1187 tiie pubes are huggetl by the instrument while the incision is being madeinto tiie bladder. The surgeon should sit upon a low stool, and, beforebeginning the incision, carefully map out the location of the bulb and tliepoint where the incision is to begin, also determine the outlines of the ramiand tuber ischii. He then introduces the index linger of the left hand intothe rectum, locates the apex of the prostate, and deterniines its relations tothe sound. The tinger is withdrawn, thoroughly cleansed, and the groovein the staff again located. The Operation.—The incision is commenced a little to the left (one thirdof an inch) of the median rhaphe, from an inch and a quarter to an inch and3k half in front of the anus (Fig. 1402, b). The point of the knife is made toenter the groove at the second or third cut, being guided there by the nailof the index linger of the left hand. The perineal incision is made obliquely
Text Appearing After Image:
Fig. 1393.—Clovers cruteh to hold the legs (Fig. 1402), with strap to go over the shoulders. •downward from three to three and a half inches in length, midway heticeenthe hiber isch ii and the verge of the anus. It is deep above and should be shal-low below. The urethra is then freely opened, and the probe-pointed bistourysubstituted for the scalpel; or the blunt extremity of the Blizard (Fig. 1382)or another suitable knife is engaged in the groove, when the surgeon, takingthe handle of the staff in the left hand, draws it downward somewhat, andthen, holding it firmly, carries the point of the knife along the groove towardthe bladder in the line of the perineal incision, depressing its handle slightlyto correspond to the curve of the staff. As soon as the end of the knife isstopped by the termination of the end of the groove in the staff its handleis depressed, the edge turned outward still more, and the deep tissues sev-ered from within outward by its withdrawal, care being taken

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