File:Maryland medical journal (1902) (14782518272).jpg

Identifier: marylandmedicalj4519medi (find matches)
Title: Maryland medical journal
Year: 1902 (1900s)
Authors: Medical and Chirurgical Faculty of the State of Maryland
Subjects: Medicine
Publisher: Baltimore : Manning and Ashby
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Fia. 2. The traction necessary to hold the beak up against the prostate dur-ing an operation will often pull it into the urethra. This is due tothe fact that the beak meets the shaft at such a wide angle or atsuch a slope (see Fig. 4) that even moderate traction causes it toride over a median bar, for example, and slip into the prostaticurethra. The dangers of this accident are not small. Indeed, it hasoccurred several times, and has been responsible for several deaths,the cause being division of the membranous urethra, extravasation,hemorrhage, etc.
Text Appearing After Image:
Fig 3. The other defect, at times quite disagreeable, was that the handleof the instrument would often become so greatly heated as to burnthe hand of the operator, and to prevent sometimes his turning thecontact screw to break the electrical current. Examination soonshowed that this was due to bad contact. Recognizing more and more during two years work withFreudenbergs instrument the drawbacks referred to, and especiallyfeeling the need of blades of different size, th writer finally con- A NEW BOTTINI INCISOR—Young. 153 suited the Kny-Scheerer Company of New York during April,1901, with reference to the construction of an instrument whichwould, if possible, fill all the requirements. After considerable ex-perimentation we have produced, we believe, a satisfactory instru-ment, the construction of which is thoroughly explained by theaccompanying cuts. As seen in the illustrations, the form of Freudenbergs instru-ment is adhered to (Fig. i), the only changes being in its havingfour in

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