File:The operating room and the patient; a manual of pre- and post-operative treatment (1913) (14799461413).jpg

Identifier: operatingroompat00fowl (find matches)
Title: The operating room and the patient; a manual of pre- and post-operative treatment
Year: 1913 (1910s)
Authors: Fowler, Russell Story, 1874-1959
Subjects: Operating Rooms Patients
Publisher: Philadelphia,: Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
bis andupward traction made (Fig. 150). The instrument is nowgently advanced until its point lies well against the pubis,when the scrotum, testicles, and penis are released and theinstrument transferied to the left hand. In the third stage the instrument is steadied in the medianline by the left hand and its shaft carried away from the surfaceof the abdomen (Fig. 151), the handle describing the arc of acircle during this part of the manipulation. This movement isto be continued until the handle of the instrument almost GENERAL CONSIDERATIONS IN THE AFTER-TREATMENT 217 reaches the meatus. The right hand now makes pressure in adownward direction on the root of the penis to stretch thesuspensory ligament and diminish the curve of the membranousportion of the urethra (Fig. 152). At the same time the instru-ment is depressed between the thighs and sHps into the bladder.The entrance of the instrument into the bladder is announcedby a flow of urine. The same technic applies to the passage of
Text Appearing After Image:
Fig. 151.—The third stage in the technic of catheterization. Theinstrument has been carried in an arc of a circle from the surface of the abdo-men, while at the same time it has been advanced still further into theurethra. (Fowlers Surgery.) sounds. The entrance of the latter into the bladder is indicatedby the ability to rotate it on its own axis in all directions. The passage of a metal instrument through the curved portionof the canal marks the most difficult stage ofthe operation.The beak may, at the moment of change in its direction, pressthe bulb too far down by prematurely lowering the handle,so that the wall is crowded before the instrument. Furtherprogress is blocked and the instrument must be partially with-drawn for another trial. 218 OPERATING ROOM AND THE PATIENT The method of using a gum-elastic catheter armed with astylet does not differ from the foregoing. A fiexible catheterof vulcanized rubber is easily passed, under normal conditions,by simply feeding it in, a hal

Note About Images