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File:A text-book of gynaecological surgery (1911) (14765260585).jpg

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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. 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
Text Appearing After Image:
f&t Fig. 44.—Prolapsed urethra : Suturing the mucousmembrane. through the mucous membrane of the vagina on to thepoint of the sound, so that the sacculated portion of theurethra is opened. The urethrocele is then excised, togetherwith that portion of the vaginal wall which covers it.The hole in the urethra is closed with one or more finesilk sutures. The opening in the vagina is finally closed byinterrupted silk sutures passed through the vaginal tissuebut not including the mucous membrane of the urethra. Dressing and after - treatment. — See Chapter xxxn.The patient can get up in ten days. 94 GYN/ECOLOGICAL SURGERY HYDROSTATIC DILATATION OF THE BLADDER In certain cases of functional incontinence in youngwomen, after the various methods of treatment by drugshave been tried and failed, a cure or, at any rate, greatimprovement may be obtained by the hydrostatic dilata-tion of the bladder. Preparation of the patient.—See pp. 78-82. Instruments.—Clovers crutch and a catheter a

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  • bookid:textbookofgynaec00berk
  • bookyear:1911
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Berkeley__Comyns__1865_1946
  • bookauthor:Bonney__Victor__1872_1953
  • booksubject:Gynecology
  • booksubject:Genitalia__Female
  • bookpublisher:New_York___Funk_and_Wagnalls_Company
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:110
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
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28 July 2014

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