A text-book of gynaecological surgery (1911) (14762082181)

Identifier: textbookofgynaec00berk (find matches)

Title: A text-book of gynaecological surgery

Year: 1911 (1910s)

Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953

Subjects: Gynecology Genitalia, Female

Publisher: New York : Funk and Wagnalls Company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

. Fig. 41.—Transfixion of prolapsed urethra. prolapsed is caught with pressure-forceps and drawn for-wards so as to put it on the stretch. A suture is thenpassed across the urethral canal, in its passage transfixingthe prolapsed mucous membrane (Fig. 41). The mucousmembrane in front of the suture having been removed withscissors (Fig. 42), that portion of the suture which can beseen traversing the urethral canal is pulled down out ofthe canal and divided so that two sutures are now avail-able (Fig. 43), one to anchor the cut mucous membrane SUBURETHRAL ABSCESS 9i to the orifice on the left side and the other for the samepurpose on the right side. These sutures having beentied, the cut edge of mucous membrane is sutured to theurethral orifice with as many interrupted sutures asmay be found necessary (Fig. 44). Complications.—This operation may result in a slightamount of stricture at the urethral orifice if the operatorhas improperly cut away part of the mucous membrane

Text Appearing After Image:

Fig. 42.—Removal of the prolapsedurethra. of the vestibule instead of limiting the excision to that ofthe urethra. Dressing and after-treatment.—See Chapter xxxn. Itis usual to allow the patient to get up at the end of aweek. SUBURETHRAL ABSCESSPreparation of the patient.—See pp. 78-82.Instruments.—Clovers crutch, Auvards speculum,scalpel, dissecting forceps, two pairs of pressure-forceps. 92 GYNAECOLOGICAL SURGERY Operation.—The abscess is incised, the pus evacuated,and the cavity thoroughly swabbed with pure carbolicacid. Dressing and after-treatment.—The cavity is packedwith iodoform, sal-alembroth, or sterile gauze. The general

Lehrbuch der gynäkologischen Chirurgie 1911 urologische Chirurgie Buchillustrationen Lehrbuch Medizin Operation Gynäkologie Bilder aus dem Internetarchiv

1911

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