Operative surgery, for students and practitioners (1906) (14748881686)

Identifier: operativesurgery00mcgr (find matches)

Title: Operative surgery, for students and practitioners

Year: 1906 (1900s)

Authors: McGrath, John J. (John Joseph), b. 1866

Subjects: Surgery, Operative

Publisher: Philadelphia, Davis

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

pace of Eetzius. When thebladder is distended, it reaches above the symphysis, and is then inrelation, in front, with the anterior abdominal wall. Passing from the summit of the bladder to the umbilicus is theurachus, which occasionally remains patent after birth. The peritoneum covers the sides, part of the posterior surface,and the summit of the bladder, but does not cover its anterior surface,being reflected from the summit of the bladder over on to the poste- 47S URINARY SYSTEM. rior surface of the anterior abdominal wall. When the bladder iswell distended, it rises upward into the abdomen; its summit, as itapproaches the umbilicus, carries the peritoneum with it, and its ante-rior surface, which is devoid of peritoneum, then comes into relationwith the abdominal wall; so that under these circumstances the blad-der may be entered through an incision in the anterior abdominalwall, low down, close to the symphysis, without molesting the peri-toneum or entering the peritoneal cavity.

Text Appearing After Image:

Fig. 210.—An Antero-posterior Section Showing Relations of the Perito-neum to the Bladder, etc. Bladder moderately distended. P, prostate glandsurrounding commencement of the urethra (neck of the bladder); PP, ante-rior fold of peritoneum reflected from the posterior aspect of the anteriorabdominal wall over on to the fundus of the bladder; 8P, symphysis pubis;TS, vesiculae seminales. The higher the bladder ascends into the abdomen, the larger thearea of its anterior, non-peritoneal surface which is presented foroperation. OPERATIONS UPON THE BLADDER. Suprapubic Cystotomy. — The patient is placed in the usualposition upon the back and fully anaesthetized, so as to relax the ab-dominal muscles. If one is unable to distend the bladder, owing to OPERATIONS UPON THE BLADDER. 479 the existence of an impassable stricture of the urethra, etc., muchadvantage is gained by placing the patient in the Trendelenburgposition. A soft rubber catheter is introduced into the bladder, and,through th

lateral cross section of male genitourinary system operative surgery for students and practitioners 1906 book illustrations medicine surgery images from internet archive

1906

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