File:The surgical diseases of the genito-urinary organs including syphilis (1889) (14594692809).jpg

Identifier: surgicaldiseases00keye (find matches)
Title: The surgical diseases of the genito-urinary organs including syphilis
Year: 1889 (1880s)
Authors: Keyes, E. L. (Edward Lawrence), 1843-1924
Subjects: Urology Syphilis
Publisher: New York : D. Appleton and Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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The scalpel should be firm, seven or eight inches long, with a stoutshank and solid back, the blade about three inches long (Fig. 87), thecutting edge about one and a quarter inch. Blizards probe-pointed knife (Fig, 88—^, English pattern), long,straight, with a stiff back and (Fig. 88—.5, American) a ribbedhandle. The bkmt gorget, possibly useful where the patient is fatand the perinseum deep (Fig. 89). The scoop (Fig. 90), several 300 LITHOTOMY. forceps of different sizes, with extremities rougliened in the inside tohold the stone firmly, one with crossed handles (Fig. 91), so as to beopened sufficiently in a deep perinanim without stretching the woundunduly ; another with its blades sharjily curved (Fig. 92), so as tocatch stones behind the pubcs or in the bas-fond. The heavy in-struments, formerly used to crush stones found to be too large to beextracted through the lateral incision, are no longer called for, suchstones being properly dealt with by suprapubic lithotomy. I think
Text Appearing After Image:
Fig. 91. Fio. 92. Fig. 93. Fig. 94. it a safe rule that, if two of the diameters of a stone are even a littleover an inch and a quarter each, the patient will do better by the highoperation ; and it is quite possible that the future may narrow thelimit. A metallic tube, one-third inch diameter (Fig. 93), with an openend and a large eye—furnished with an obturator for easy introduc-tion—through which to wash out debris. Another tube, one-sixthinch diameter, provided with a globular head, about a half-inch diam-eter, having large holes in the globular head pointing backward (Fig.94), and a piece of rubber tubing on its proximal extremity—this to beused with a Davidsons syringe to wash out debris. A shirted cannula THE OPERATION. 301 for haemorrhage (Fig. 95), and a tenaculum which unscrews at thehandle (Fig. 96, Keiths tenaculum), and several forciprcssure for-ceps for the same purpose ; Pritchards anklets and wristlets (Fig. 97) ;some soft rubber and other catheters, brandy, hot

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