The Hahnemannian monthly (1900) (14595426407)

Identifier: hahnemannian35homo (find matches)

Title: The Hahnemannian monthly

Year: 1865 (1860s)

Authors: Homœopathic Medical Society of the State of Pennsylvania

Subjects: Homeopathy

Publisher: West Pittston, Pa. (etc.) : LaBarre Printing Co.

Contributing Library: The College of Physicians of Philadelphia Historical Medical Library

Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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the pivotof the instrument; two irrigating jars, one for the ice Avater,the other for a saturated solution of boracic acid; two piecesof tubing, one leading from the irrigating jar containing theice wrater, the other from the instrument to the basin on thefloor; a hand-syringe, of an eight-ounce capacity, twTo Mercierand two soft-rubber catheters, a perineal drainage tube, a Syniestaff, heemostats, and a scalpel. * Technique-of the Bottini Operation, N. Y. Med. Journal, April 29, 1899. 484 The Hahnemannian Monthly. (August, Profuse haemorrhage immediately following, due to perfora-tion of the urethra, has not infrequently been observed,demanding supra-pubic or perineal section for its control.Meyer * cites a case followed by absolute retention, demandingsupra-pubic aspiration for three days consecutively. One ofmy cases developed urethral fever, due doubtless to prolongedinstrumental interference within a chronically inflamed viscus,and the neglect to provide for sufficient drainage.

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Again, the operation has been called a dark one. This,however, is hardly a serious objection to those skilled in blad-der and urethral manipulation. Besides, thorough cystoscopicexaminations undoubtedly serve as an intelligent guide to theamount of glandular overgrowth which should be seared.Accordingly, it occurred to me to combine this operation witha perineal urethrotomy, since b)r doing such a combinationoperation many of the complications known to follow an origi-nal Bottini would be entirely removed. First, because itslightly eliminates the factor of operating in the dark, by per- iled. Rec, April 28, 1900. 1900.) Bottini OperatioA for Hypertrophy of Prostate. 485 mitting intra-vesical manipulation. Second, in the event of1 Hemorrhage, an avenue is at once afforded for tamponage.Third, that by tying in a drainage tube absolute retention is

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1900

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