File:Surgical after-treatment; a manual of the conduct of surgical convalescence (1911) (14762594514).jpg

Identifier: surgicalaftertre00cran (find matches)
Title: Surgical after-treatment; a manual of the conduct of surgical convalescence
Year: 1911 (1910s)
Authors: Crandon, L. R. G. (Le Roi Goddard), b. 1873
Subjects: Surgery, Operative
Publisher: Philadelphia and London : W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ealwound and remove the catheter-. Apply a large absorbent dressing andchange it as often as it becomes saturated with urine. For the firstfew days all the urine will escape through the perineum, perhaps in-voluntarily. Twenty-four hours after the catheter has been removedirrigate the bladder and urethra with hot silver nitrate solution (i: 2000), EXTERNAL URETHROTOMY 52I pass sounds up to the size of the normal urethra, then irrigate again.Repeat the irrigations and sounds every other day until bleeding ceases;then twice a week, as described under Internal Urethrotomy. If, as is preferable, the catheter is to be tied in through the urethra,it is held in place by any one of several ways. The best, from the pointof view of cleanliness and efficiency, is as follows: Two pieces of l-in.tape 8 in. long are fastened by their middle with a safety-pin throughthe tape and catheter exactly at the meatus. The ends of the tape arethen passed down each side of the penis, and are held there by two
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Fig. 172.—Catheter Held in Penis. Two pieces of cotton tape are pinned at their middle by a safety-pin to the appropriate point on the catheter.The fovir ends are carried back to the root of the penis, and a narrow strip of adhesive plaster is bound loosely(to allow for future congestion) about penis and tapes. Over this strip the ends are turned back, and, to preventslipping, bound down by a second circular turn of adhesive. A third collar of adhesive is applied just behindthe corona. During the application the skin of the penis should be kept on a stretch, to prevent any play of thecatheter in and out. circular turns of zinc-oxid plaster about h in. wide. By this methodthe glans is free from any permanent application and remains, there-fore, unirritated. This retaining apparatus can be readily changed,if need be, without disturbing the catheter (Fig. 172). As soon as the patient is in bed establish siphon drainage, as describedabove. This method, if carefully applied and cared for

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