Identifier: textbookofoperat00bern (find matches)
Title: A text book of operative surgery and surgical anatomy
Year: 1878 (1870s)
Authors: Bernard, Claude, 1813-1878 Huette, Ch. (Charles) Norton, Arthur T. (Arthur Trehern), 1841-1912
Subjects: Surgery, Operative Surgery, Operative Surgical instruments and apparatus Surgical Procedures, Operative Surgical Instruments Surgical Equipment
Publisher: London : Baillière, Tindall, and Cox
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ps off at itsangle. The fi-agment may be removed by the aid of an-other lithotrite ; but if this appear impracticable, the patientmust be submitted to the operation of lithotomy. Cystitis,nephritis, peritonitis, or retention of urine, may follow onlithotrity, and so also orchitis and prostatitis. Slight orsevere febrile symptoms are by no means uncommon. In-flammation of the plexus of veins about the neck of thebladder is a very grave sequel and may be fatal. To insure agood result in a case of lithotrity, the patient must be firstcarefully prepared as regards regime and diet; the sittingsshould be of short duration ; and, lastly, the greatest care andsupervision of the patient must be exercised during and afterthe time that he is under operative treatment. Relapse.—Should a small fragment of stone-be left in thebladder, it will probably form the nucleus of another calculus,so that the surgeon must make sure that all is removed beforethe patient leaves his care. PI. 79 Fio- Kg 2 h 4
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AND SURGICAL ANATOMY. 361 PLATE LXXIX.SURGICAL ANATOMY OF THE PERINEUil. Fig. 1.—The perinenm.—The left half of the figure repre-sents the superficial layers; the right haK the deep structures,the superficial fascia being preserved on the left half : a, theanus with the external sphincter, halE dissected; h, the bulbof the urethra covered by the accelerator urinae; c, the internalpudic vessels, the artery being superficial and external to thevein. These vessels, traced backwards over the spine of theischium, enter the pelvis below the pyriformis ; but traced for-wards, under the protection of the tuberosity and ramus ofischium and pubes, they lie between the two layers of thetriangular ligament, giving off branches in their course ; theseare, /, the superficial perineal, for the supply of the scrotum,and /, the inferior htemorrhoidal which passes inwardstowards the anus. The most important branches are the artery to the bulb,which runs from the front of the ischial tuberosity forw

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