File:The principles and practice of surgery- embracing minor and operative surgery - with a bibliographical index of American surgical writers from the year 1783 to 1860 - arranged for the use of students (14592773567).jpg

Identifier: 66911080RX2.nlm.nih.gov
Title: The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2)
Year: 1863 (1860s)
Authors: Smith, Henry H. (Henry Hollingsworth), 1815-1890
Subjects: Surgical Procedures, Operative Surgical Procedures, Minor
Publisher: Philadelphia : J.B. Lippincott & Co.

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he forceps holding the pre-puce in advance of the glands. 2, 2. Ligatures passed through the prepucefor the purpose of subsequently uniting the skin and mucous membrane. After Bernard and Huette. Fig. 6. The second stage of this operation. 1. Rat-tooth forceps drawingthe prepuce forward, 2. The bistoury in the act of circumcising the prepuce. After Bernard and Huette. Fig. 7. Appearance of the Prepuce after Circumcision. 1,1, 2, 2. The liga-tures for uniting the wound. After Bernard and Huette. Fig. 8. Completion of the operation. 1. The first suture as applied. 2. Thesecond ligature. After Bernard and Huette. Fig. 9. Reduction of Paraphymosis by Compression. While the thumbs ofthe operator push back the glans, the first and second fingers draw the prepuceforward over the corona. After Bernard and Huette. Fig. 10. Amputation of the Penis. 1. Left hand of the surgeon holding the penis enveloped in a cloth. 2. Hand of the assistant. 3. The bistoury. After Bernard and Huette.(470) Fig. 5
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ft retra tamtare 1 AMPUTATION OF THE PENIS. 471 as to draw it forward, and at the same time apply the thumbs against the ex-tremity of the glans, so as to knead and force it backward, when, after agentle perseverance, success will be obtained in most instances, especially ifthe attempt is made within two or three hoars after the occurrence of theretraction, otherwise it will be more difficult, Plate XLIX. Fig. 9. Wherethere is niuch oedema of the prepuce, and the mucous membrane is highlytumefied, it may be necessary, and I have often found it advantageous, to punc-ture the membrane at numerous points, so as to give exit to the serum andallow of the more ready movement of one layer of the prepuce upon the other,after which compression should be made as before directed. II. Incision—When the constricting prepuce is so tight or the adhesionsso close that it cannot be made to yield to the force applied through thefingers, it may become necessary to resort to the knife. Operation of Inc

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