File:Modern surgery, general and operative (1919) (14597803057).jpg

Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 1017.—Youngs modification of Freudenbergs instrument for prostatotomy by galvanocautery. The tractor is turned 180 degrees, the blades are opened, and traction is made.The capsule is incised on each side of the ejaculatory ducts and the gland is re-moved by blunt dissection, the forceps grasping each lobe during enucleation(Fig. 1016). Ever)^ effort is made to save the urethra. After removing thelateral lobes the tractor is used to bring a middle lobe, if one exists, into thewound, and it is also enucleated. The bladder is drained for about one week. Youngs punch operation was devised for the removal of small prostaticbars and contractures of the vesical neck involving the prostate. Youngreports 200 cases with no mortality. It can be done under local urethral anes-thesia; 4 per cent, novocain is employed. The operation is performed bymeans of a special prostatic punch devised by Young. By means of the puncha portion of the offending bar is removed. Bottinis Qalvanocaustic Prost

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