File:A manual of syphilis and the venereal diseases, (1900) (14595903108).jpg

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Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 52.—Otiss dilating urethrotome (Tiemann) behind forward. The other steps in the operation aredescribed above. The Maisonneuve urethrotome, used for internalurethrotomy in the deep urethra, is probably thebest instrument for this purpose, since it can beattached to a filiform guide and thus be conductedthrough a stricture; but this operation is one to beavoided if possible, unless it be followed by perinealpuncture and drainage as recommended by Harrison inhis combined operation. Some of the modifications aresuperior to the original instrument in having protecting
Text Appearing After Image:
Fig. 53.—Teevans modification of Maisonneuves urethrotome with guide (Tiemann). sheaths for the knife, which can thus be made to cut thestricture-tissue without damaging the rest of the urethra,and in being fitted with a wire stylet, the removal ofwhich allows the escape of urine if the instrument hasproperly entered the bladder, the danger of cutting a falsepassage being thus obviated (Fig. 53). The instrument isof occasional service in the anterior urethra, since, bymeans of its guide, it can be inserted into a stricture toonarrow to admit the smallest Civiale urethrotome, and 562 SYPHILIS AND THE VENEREAL DISEASES. the stricture may then be divided partially from beforebackward. For this purpose the knife should run in agroove in the upper surface, in order to make the incisionin the roof of the urethra. As in all urethrotomies,the instrument should be held firmly in the medianline and the penis pulled well over it to keep the ure-thra on the stretch. The opening should be madela

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  • bookid:manualofsyphili00hyde
  • bookyear:1900
  • bookdecade:1900
  • bookcentury:1900
  • bookauthor:Hyde__James_Nevins__1840_1910
  • bookauthor:Montgomery__Frank_Hugh__1862_1908
  • booksubject:Syphilis
  • booksubject:Sexually_Transmitted_Diseases
  • bookpublisher:Philadelphia___Saunders
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:606
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
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30 July 2014

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