Identifier: plasticsurgeryit00davi (find matches)
Title: Plastic surgery; its principles and practice
Year: 1919 (1910s)
Authors: Davis, John Staige, 1866-1933
Subjects: Surgery, Plastic
Publisher: Philadelphia, P. Blakiston's son & co
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
scrotal flap is raised andsutured over the new urethra. The scrotal defect is shown partially closed. side of the opposed penile and scrotal flaps are sutured as shown inthe diagram, the stitches being about 0.625 cm. (\i inch) apart. All thesutures are placed before any are tied, small rubber tubes extending thelength of the opposed flaps are inserted on both front and back, and thesutures are tied over them. Through the channel thus formed Bucknallthen passes a small rubber catheter into the bladder through the newlyformed urethra to drain oft the urine. (It is better to do an external ;24 PLASTIC SURGERY urethrotomy and insert a permanent catheter.) The stitches areremoved after fourteen days (Figs. 288 and 289). Second Stage.—Usually undertaken after three or four weeks, ifconditions are favorable. The penis and newly formed urethra aredissected from the scrotum leaving lateral flaps of scrotal tissue on eachside sufliciently long to cover the raw surface of the penis when they
Text Appearing After Image:
Fig. 287.—Operation for penile hypospadias (Rochet).—i. Through a short trans-verse incision, just above the abnormal urethral opening, a tunnel is burrowed beneath theskin and through the glans. 2. A pedunculated flap of sufficient length, with its baseat the urethral opening, is raised from the midline of the scrotum, and is sutured, skinsurface inward around a rubber catheter, a portion of which is inserted in the urethra.3. The catheter with the flap attached is then drawn through the tunnel previously made,and the end of the flap is sutured to the new meatus. The catheter may either be left for24 hours, to support the newly formed urethra, or may be removed at once. It is safer todrain the bladder through an external urethrotomy wound with a permanent catheter,than to have the urine flow along the new channel, until healing is complete. are brought together. The flaps and the scrotal defects are closedvriih sutures in the midline. Bucknall reports good results in three cases.

Note About Images