Operative surgery (1899) (14593374020)

Instruments employed in cystotomy and treatment of tumors of the bladder

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

Text Appearing Before Image:

, opened, the tumor seizedand twisted away—not pulled, as forcible traction is highly objectionable.Eepeated applications of the forceps, directed by the finger in the bladder, aremade until the tumor is finally removed. Unusual bleeding is controlled byhot-water irrigation, direct pressure, etc. Suitable drainage of the bladder(Fig. ir23) should follow the operation for some days, after which the urineis permitted to resume the natural channel. Gouley, Cliismore, and othershave removed polypoid growths through the urethra by means of a lithotrite. The Commeiits.—Suprapubic pressure to secure control of the tumor maycause the forceps to seize the bladder walls with obvious outcome. Polypoidgrowths of all kinds can thus promptly be removed, but sessile ones of exten-sive growth are not amenable to this treatment. The suprapubic route for the removal of vesical tumors affords the oppor-tunity of good observation, intelligent manipulation, and scientific tech- 1120 OPERATIVE SURGERY.

Text Appearing After Image:

Fig. 1314,—Instruments employed in cystotomy and treatment of tumors of the bladder. a. Scalpels, b. Bistouries, c. Forcipressure. d. Tcales f?orget and Browns groovedcatheter director for primary incision, e. Long forceps. /. Grooved staffs, g.Double-current catheter, h. Long silver probe. i.J,^. Thompsons tumor forceps.I. Wyeths forceps, m, n. Long, straight, blunt-pointed, and curved blunt- and sharp-pointed scissors. 0. Safety pin and perineal drainage tube. p. Assorted needles.A female silver catheter, elbowed and straight rubber catheters, scoops, rongeur,blunt and hooked retractors, sponge holders, tenaculum, wipers, ligatures, tractionloops, and tampons should be at hand. OPERATIONS ON THE IKINAKV IJLADDKIt. 11:>1 niqiie. The aiuitotuicjil points are stated under Siiprupiil^ic Litliotoniy(page HOT). The Operation.—After thorough cleansing of the abdominal wall, jieri-nivum, mucous and cutaneous surfaces of the genitals, and of the bladderand rectum, place the patient on

Operative Chirurgie 1899 chirurgische Nadeln Ausrüstung für die urologische Chirurgie Buchillustrationen Medizin Operation hohe Auflösung Bilder aus dem Internetarchiv

1899

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