Identifier: newmanualofsurge00ochs (find matches)
Title: A new manual of surgery, civil and military
Year: 1917 (1910s)
Authors: Ochsner, Albert J. (Albert John), 1858-1925 Percy, Nelson M. (Nelson Mortimer), b. 1875
Subjects: Surgery
Publisher: Chicago, Cleveland Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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nutes, then in alcohol 95 percent., followed by rinsing in sterile water. Or, better still, all instruments,except the catheters, are well washed with warm soap suds, rinsed, andplaced in an upright jar containing strong fumes of formaldehyde. This canbe accomplished by allowing a piece of gauze soaked with commercial for- 542 SURGERY OF THE GENITO-URINARY TRACT malin to remain in the bottom of the jar. The catheters are siphoned with2 per cent, cold boric acid solution and put away in a cool place. When readyto use they are placed in a sterile bowl containing 4 per cent, boric acidsolution. The most aseptic precautions are indicated throughout the examinationand great care must be exercised not to traumatize the parts in the least. Ifthese precautions are not observed, annoying inflammations may result thatare worse than the original condition. The bowels should be thoroughly cleansed by means of two ounces ofcastor oil followed by a large soap suds enema. This procedure is necessary
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Shadow in Eegion of Left Ureter. in all cases in which radiographs are to be made during the course of theexamination. In extremely sensitive individuals, or in those with severe painin the region of the urethra not controllable by the use of cocaine, it is bestTO anesthetize, preferably with ether. It is very seldom the case that generalanesthesia is necessary. However, when it is known that an operation is tobe performed after the examination, the patient is always anesthetized beforebeginning. The patient is instructed to em.pty the bladder just before, inorder to determine the amount of residual urine. One-half hour before be-ginning it is well, especially in male patients, to give an hypodermic injectionof % or 1/4 grain of morphine. The external genitals are thoroughly cleansed with sterile soap suds andwater, as are the operators hands. In fact, the aseptic precautions must be SUEGERY OF THE GENITO-URINARY TRACT 543 as great as in a major surgical operation. A small pledget of

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