Identifier: 04801644.5817.emory.edu
Title: The Pathology and treatment of venereal diseases (electronic resource): including the results of recent investigations upon the subject
Year: 1866 (1860s)
Authors: Bumstead, Freeman J. (Freeman Josiah), 1826-1879
Subjects: Sexually transmitted diseases Sexually transmitted diseases Sexually Transmitted Diseases Venereology
Publisher: Philadelphia : Henry C. Lea
Contributing Library: Emory University, Woodruff Health Sciences Center Library
Digitizing Sponsor: Emory University, Woodruff Health Sciences Center Library

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:
porting each extremity. The lower bowel havingbeen emptied by an enema, the surgeon introduces his left forefinger,well oiled, into the rectum, and feels for the recto-vesical wall just PUNCTURE BY THE RECTUM. 329 back of the posterior margin of the prostate. A tap upon the hypo-gastric regioD with the opposite hand should communicate a senseof fluctuation to the point of the finger in the rectum, and this isto be regarded as indispensable before proceeding with the oper-ation. The canula and trocar are now to be introduced along thefinger as a guide, and, while an assistant compresses with both handsthe lower part of the abdomen, the point is directed forwards ex-actly in the median line, and, by depressing the handle, made topenetrate into the bladder, the accomplishment of which may beknown by its freedom in this cavity. The canula, carefully keptin place during the withdrawal of the trocar, is to be fastened bya T bandage, and may be retained until the permeability of the Fig. 39.
Text Appearing After Image:
Recto-vesical and supra-pubic puncture. (After Phillips.) urethra is re-established. The risks of this operation are: wound-ing the peritoneum or vesiculae seminales; consequent peritonitis,or inflammation of the appendages and substance of the testicle;persistence of the opening; and abscess between the rectum andbladder. In practice, however, these results rarely follow. Theperitoneum is too high up to be much exposed, and the vesiculae 330 STRICTURE OF THE URETHRA. / seminales may be avoided by adhering closely to the median line.The recto-vesical puncture has been known to remain fistulous forlife, but generally exhibits a strong tendency to close; and theformation of abscess is rare. This operation has been a favoriteone with Mr. Cock, of Guys Hospital, London, who has performedit in twenty-four instances, and has seen it performed in some fourteen others. He speaks of it in very high terms in the MedicoChirurgical Transactions, vol. xxxv., where he also gives a plate ofa trocar,

Note About Images