File:Operative surgery (1899) (14593650599).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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f the divided urethra and stitch them to the back part of thescrotal incision ; close the remainder of the scrotal incision with sutures,and establish through-and-through drainage in the deep part of the wound.A catheter is not used. The wound is cleansed and dressed in the usual 1226 OPERATIVE SURGERY. The Remarks.—Extensive glandular involvement and enfeebled repara-tive power contraindicate the operation. Gouleys Method.—In Gouleys method make a curvilinear incision ateither side of the root of the penis, beginning in the median line, aboutan inch and a half above the level of the pubes and ending a little belowthe peno-scrotal junction. The cavernous bodies are exposed and transfixedwith a large knitting needle or with a suitable substitute; the urethra istransfixed by a smaller instrument of like nature on the same plane, and thepenis is amputated an eighth of an inch in front of them. After all thebleeding points are secured, a grooved staff is introduced through the urethra
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Fig. 1451.—The vessels of left testis andcord (outer surface), a, a. Spermaticartery. b. Anterior spermatic veinssurrounding artery, c, I, i. Head, body,and tail of epididymus. d. Anteriorextremity of (with hydatid of Morgagni),e,g, antero-inferior surface of, /, out-er surface of, h, postero-superior sur-face of, and h, postero-inferior extrem-ity of testicle. ,/,./,,/. Vas deferens andits artery, m. Posterior spermatic veins.

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