File:Operative surgery (1899) (14592778820).jpg

Identifier: operativesurgery02brya (find matches)
Title: Operative surgery
Year: 1899 (1890s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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half an inch behind the cervix uteri, passes obliquely across the upperthird of the vagina, entering the bladder near the middle of the former pas-sage. In the bladder the ureter runs obliquely through the wall toward themedian line and opens into the organ three fourths of an inch from its fellowand from the urethral opening. The portion of the ureter below the brimcan be palpated through the rectum in the male and through the vagina inthe female. Stones are arrested in the ureter most often in the upper part,with about equal frequency at the middle and lower parts. The ureters serve the active purpose of transmittiug the urine from thekidney to the bladder, and the discharge is accomplished in an intermittentmanner, occupying from ten to twenty seconds in the passage. The escapeof the urine into the bladder is characterized by sudden intermittent expul-sions, each lasting two or three seconds. Whether or not the functions of olKIJATIOxNS ON V1S(K1(A CONNKCTKI) WITH IERlTONiEUM. 851
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35V. Fi(i. 1U4S.—Iiistniinonts pinployed in operations on the ureter. a. Scalpels, b. Small knife, c. Forcipressnre. d. Straig^ht and curved scissors, e, *.Mouse-tooth and thumb forceps. /. h. Hollow-jawed Jind common needle-holders.j, m. Tiarge blunt and hooked retractors, k. Gum-elastic urethral catheter. I. Chro-micized catgut, n, o. Tenaculum and blunt hook. p. q. Long silver probe andmetal urethral catheter, r. Delicate curved and straight needles, s. Catgut andsilkworm gut. A waxed-tip catheter, dilating urethral catheters, and hard-rubberurethral bougies are often serviceable. Drainage agents, gauze pads, etc., should beprovided.60 852 OPERATIVE SURGERY. the ureter are carried on in accordance with the established physiologicalmanner and the urine escaping therefrom has the normal characteristics,are matters of great importance in connection with the significance of morbidchanges in both kidney and ureter. The exanmiation to determine the condition of the ureters is of a com-

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