File:Operative surgery, for students and practitioners (1913) (14779424242).jpg

English:
Youngs Tractor. "The tractor, closed, is passed through the opening in the urethra, into the bladder up beyond the prostate mass, and its blades then spread by turning the arm at the handle. With this instrument the prostate mass is drawn down into the incision in the perineum"

Identifier: operativesurgery1913mcgr (find matches)
Title: Operative surgery, for students and practitioners
Year: 1913 (1910s)
Authors: McGrath, John J. (John Joseph), b. 1866
Subjects: Surgery, Operative
Publisher: Philadelphia, Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
divided and the lower end of the rectum separatedfrom its anterior attachments and displaced backward toward thecoccyx. The prostate is situated above the level of the levatores aniand the edges of these muscles are seen in the incision, one on either 700 UEINARY SYSTEM. side of the middle line. The edges of the levators may be drawnto either side with narrow, blunt retractors in order to expose theprostate more freely. The rectum is detached bluntly with the fingersand displaced backward, away from the prostate, toward the coccyx,and while this is being done it is advantageous to insert one or twofingers (with rubber glove) in the rectum and keep them there whilethis step of the operation is being accomplished. After the rectumhas been separated and displaced backward the prostate may bebrought into plain view by making traction with the tractor, whichis introduced into the bladder through the opening in the urethra.The tractors of Young, Albarran, Lydston are used for this purpose.
Text Appearing After Image:
Fig. 315.—Youngs Tractor Open. The tractor, closed, is passed through the opening in the urethra,into the bladder up beyond the prostate mass, and its blades thenspread by turning the arm at the handle. With this instrument theprostate mass is drawn down into the incision in the j)erineum andits entire posterior surface and base exposed. The rectum may bedrawn back toward the coccyx, out of the wsij, with a broad retractor.The fibrous sheath of the prostate is incised on either sideaccording to the method of Young, and the prostate mass enucleated.Two incisions are made, one on either side of the middle line,extending nearly the entire length of the prostate and about 1 cm.deep. The two incisions approach each other in front, being about1.5 cm. apart anteriorly and 1.8 cm. posteriorly. The bridge of tissuebetween these two incisions corresponds to the course of the ejaculatoryducts and its preservation is necessary if the duets are to be saved from OPERATIONS UPON THE PROSTATE. 701

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