File:Operative surgery (1899) (14593763687).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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(Fig. 1415), or bydoubling, if the caliber ofthe urethra will permit.Much patience and skill areneeded to locate and so Fig. 1417.—Suture of deep tissue over line of uretfiral change the direction of rigidsewing, n. Superficial perineal fascia, h. Accel- u^j; u„ _ . „ ,^f •„„+..„eratorurin;e muscle, c. Line of sewing of urethra, bodies by means of instru-ct. Sewing muscular flaps over urethral incision. ments having, or devoid of, special mechanism to secure their harmless delivery. The presence of cystitis or of kidney disease admonish that care be practiced in every manner. Lithotomy, etc., in the Female.—Aside from lithotrity and litholapaxy, a stone may be removed from the female bladder by dilatation of the urethra, and by vaginal and suprapubic lithotomy. Dilataiion of the Urethra.—Dilatation of the urethra is applicable to the removal of small stones. A stone an inch in diameter can be removed thus without much danger of troublesome incontinence of urine; when
Text Appearing After Image:
OPEIIATIOXS OX TIIH LUlINAIiV I.l..\ DDKi;. 120 larger than this, another method should l^e practiced. The dihitation canbe accomplished by largo sounds, graded uterine stems, followed in turnby the tingera. Instruments specially designed for the purpose are often employed. After suitable dilatation issecured, the stone is removed with slender

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