File:The principles and practice of surgery- embracing minor and operative surgery - with a bibliographical index of American surgical writers from the year 1783 to 1860 - arranged for the use of students (14592832177).jpg

Identifier: 66911080RX2.nlm.nih.gov
Title: The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2)
Year: 1863 (1860s)
Authors: Smith, Henry H. (Henry Hollingsworth), 1815-1890
Subjects: Surgical Procedures, Operative Surgical Procedures, Minor
Publisher: Philadelphia : J.B. Lippincott & Co.
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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ssing in the forceps. 1. The staff.2. Hand of the surgeon. After John Bell. Fig. 4. An outline to show the manner of enlarging the wound by means ofthe probe-pointed bistoury. 1, The staff in position. The forefinger of thesurgeon introduced into the opening in the neck of the bladder with its palmarsurface pressing against the back of 3, a probe-pointed bistoury in the act ofenlarging the incision in the prostate gland. After John Bell. Fig. 5. Outline representing the forceps as grasping one stone, while a secondis represented below it. 1, 1. Improper line in which to attempt extraction, asit exposes the neck of the bladder to contusion against the arch of the pubis.2. Forceps seizing the stone. 3, 4. Proper direction of the forceps in the lastefforts for extraction of the calculus. After John Bdl. Fig. 6. A view of the mode of retaining the stone in the scoop during itsextraction by this instrument. 1. The scoop. 2. The left forefinger of the^^•■g^o- After John BeU. (524) Plate
Text Appearing After Image:
THE LATERAL OPERATION OF PERINEAL LITHOTOMY. 525 staff may be readily felt, pass the left forefinger into the wound, while thehand is in extreme pronation, so that the radial edge of the finger may beturned downward, the ulnar side of its pulp and the point of the nail beingmade to touch the staff, while its back presents to the left descending ramusof the pubis. Then laying down the scalpel and taking up the sharp-pointedbistoury, pass it flatwise, or with its back to the rectum, along the left fore-finger as a director; carry its point to the bottom of the wound; puncturethe membranous portion of the urethra so as to enter the groove of the staff,as may be told by the escape of a little urine and the contact of the instru-ments; and then, cutting from behind forward, lay bare the staff by onestroke, from the prostate to the bulb, when more urine will follow, and thestaff will be clearly felt and seen. Then promptly taking the gorget, dip itspoint into oil, place its beak in the groo

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