File:Manual of operative surgery (1921) (14784617815).jpg

Identifier: manualofoperativ1921binn (find matches)
Title: Manual of operative surgery
Year: 1921 (1920s)
Authors: Binnie, John Fairbairn, 1863-1936
Subjects: Surgery, Operative
Publisher: Philadelphia : Blakiston
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ture a softfiliform bougie the proximal end of which is fitted with a screw. Screw thedistal end of a Maisonneuve urethrotome (Fig. 871) to the filiform guide.Push the urethrotome along the urethra, the knife blade being in contact withthe middle of the roof of the urethra. The knife blade being blunt at its apexcannot cut the normal urethra, but its distal edge being sharp cuts the stric- 7i6 URETHRAL STRICTURE ture when it comes against it. Having divided one stricture, remove theurethrotome and explore the whole urethra so as to find if other stenoses arepresent. The urethra should now admit a full-sized sound. B. Oiis Operation: Division of the Stricture from Behind Forwards.—Prepara-tion and exploration of the urethra as already described. Introduce an Otisurethrotome (Fig. 872) through the stricture. By means of the screw at theproximal end separate the blades of the instrument until the tissues of thestricture are put on the stretch but not torn. Up to this time a knife blade
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