Modern surgery, general and operative (1914) (14782630805)

Identifier: modernsurgerygen1914daco (find matches)

Title: Modern surgery, general and operative

Year: 1914 (1910s)

Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933

Subjects: Surgery Surgery, Operative

Publisher: Philadelphia, London, W. B. Saunders company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

fail, try the overcurved silvercatheter of Sir Benjamin Brodie. This metal instrument has a large curve andwill probably succeed, but it is a dangerous tool and one capable of inflictinggrave injury. In enlargement of one lateral lobe with possible deflection of the Exstrophy of the Bladder 1315 urethra and valve formation try, in order, the woven silk catheter (Fig. 881),the Nelaton catheter (Fig. 882), strengthened by having a fihform passed inits lumen nearly to the beak, and the rat-tailed silk instrument. In enlarge-ment of both lobes and the middle lobe try the coude, then the bicoude, thena coude and a bicoude with olivary or rat-tailed tips. If all of these faU, theovercurv^ed metal catheter of Brodie must be used gently. In retention fromexpulsive defect use a soft catheter (Fig. 882). Cases of retention after cathe-terization require warmth, confinement to bed, the administration of laxatives,free action of the skin, and the use of such drugs as salol, boric acid, urotropin,

Text Appearing After Image:

Nelatons catheter. and quinin to asepticize the urine. In some few cases no instrument can beinserted in the bladder. In most of such cases aspirate—which may be doneseveral times if necessary—and in a day or two, when swelling and congestionabate, an instrument can be passed. The parts are asepticized. A smallaseptic trocar or aspirator needle is pushed into the bladder, the trocar orneedle being inserted in the median line, just above the pubes, and taking acourse downward and backward. After the completion of the operation thepimcture is dressed with iodoform and collodion. Only half the urine is with-

Moderne Chirurgie allgemein und operativ 1914 Buchillustrationen Operation Medizin Bilder aus dem Internetarchiv

1914

Columbia University Libraries

http://commons.wikimedia.org/

public domain