Manual of operative surgery

Press: RareBooksClub.com (May 11, 2012)
ISBN:9781231238349
Author Name:Binnie, John Fairbairn
Pages:436
Language:English

Content

This historic book may have numerous typos and missing text. 
Purchasers can download a free scanned copy of the original book (without typos) from the publisher.
Not indexed.
Not illustrated.
1913 Excerpt: ...bared end of the dressed tube into, or over, the ureter.
Do not permit the gauze on the tube to be in contact with the ureter.
With a needle stitch sutures x-xl and Y-y1 to the tube; this holds the drain in place.
Ureterotomy for the cure of ureteral stricture is performed as follows (Fenger's operation): Expose the ureter by the extraperitoneal route.
Make a longitudinal incision into the ureter immediately above the stricture; pass a suitable probe Fig.
708.--Ureteral Drainage.
A' Fig.
709.
Fig.
710.
F1e.
711.
Figs.
709, 710 And 711.--Fenger's Ureteroplasty.
or bougie through the stricture; continue the vertical incision through the stricture and downwards until the wound below the site of stricture is equal in length to that above (Fig.
709).
With sutures unite the point A to A1, B to Bl, etc.
(Fig.
710).
The result is practically the formation of an anastomosis (Fig.
711) between the upper and lower segments of the tube.
Close the external wound after providing for drainage.
Ureterectomy.--Ureterectomy may be carried out as a step in the operation of nephrectomy or as a secondary operation.
The ureter is exposed extraperitoneally by the lumbo-ilio-inguinal incision.
It is not always necessary to make the external incision continuous throughout the whole length described on page 615.
After the kidney is delivered or removed the ureter may be followed, by a burrowing dissection, down towards the pelvis, a forceps or Fig.
712.--Exposure Of Ureter.
F1e.
713.--Monari's Ureteral Anastomosis.
stout probe passed down to the bottom of the wound to act as a guide, while a second incision is made through the parietes (Fig.
712).
No special description of technic is required.
Note that an apparently tuberculous ulceration of the vesical muscosa near the mouth of th...



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