File:Modern surgery, general and operative (1914) (14759636786).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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rable in some cases of enlarged prostate, and in such cases Senns tube (Figs.895 and 897) or Stevensons tube (Figs. 896 and 898) may be employed. Median Cystotomy (or Cystostomy).—The same incision is made in theperineal raphe for median cystotomy as for median lithotomy. A groovedstaff is introduced and is hooked up under the pubes; an incision is made intothe membranous urethra, and is extended backward for f inch, and a fingeris carried into the bladder. If searching for a growth, find it by the finger.The usual rule has been to catch it in Thompsons forceps and twist it off.Such an operation is totally inefficient. Soft growths may be scraped away.Stop bleeding by digital pressure or by injections of hot water or adrenalin Injuries of the Penis and Urethra 1339 chlorid (i : 10,000). Median cystotomy does not allow anything like the free-dom of access given by suprapubic cystotomy, and the latter operation is thebest for tumor cases. The median operation may be used for drainage.
Text Appearing After Image:
Fig. 895.—Senns silver tube. Fig. 896.—Stevensons suprapubic drainage-tube. Growths In the Female Bladder.—It was long the custom to dilate theurethra as in a case of stone, and scrape, twist, or pull the growth away orhgate it. This plan is inefficient, as by it the base of the tumor is not re-

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