Identifier: textbookofgynaec00berk (find matches)
Title: A text-book of gynaecological surgery
Year: 1911 (1910s)
Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953
Subjects: Gynecology Genitalia, Female
Publisher: New York : Funk and Wagnalls Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 42.—Removal of the prolapsedurethra. of the vestibule instead of limiting the excision to that ofthe urethra. Dressing and after-treatment.—See Chapter xxxn. Itis usual to allow the patient to get up at the end of aweek. SUBURETHRAL ABSCESSPreparation of the patient.—See pp. 78-82.Instruments.—Clovers crutch, Auvards speculum,scalpel, dissecting forceps, two pairs of pressure-forceps. 92 GYNAECOLOGICAL SURGERY Operation.—The abscess is incised, the pus evacuated,and the cavity thoroughly swabbed with pure carbolicacid. Dressing and after-treatment.—The cavity is packedwith iodoform, sal-alembroth, or sterile gauze. The general
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Fig. 43.—Prolapsed urethra : Fixationof the mucous membrane. lines of after-treatment are described in Chapter xxxn.The gauze is removed the day following the operation,after which the cavity is irrigated with biniodide ofmercury, i—4,000, and then packed lightly every dayuntil healing by granulation has taken place. Thepatient is able to get up as soon as the purulent dischargeceases. URETHROCELE URETHROCELE 93 Preparation of the patient.—See pp. 78-82. Instruments.—Auvards speculum, Clovers crutch, blad-der sound, scalpel, dissecting forceps, two pairs of pressure-forceps, scissors, curved needle No. 13, silk sutures No. 1. Operation.—A bladder sound is passed through theurethra into the urethrocele. An incision is then made

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