Identifier: operativesurgery02brya (find matches)
Title: Operative surgery
Year: 1899 (1890s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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rine isaseptic and the peri-neal wound is coveredwith granulation, thusavoiding iutlltration. The Combined Meth-od (Ale.vander).—Thewriter desires to ac-knowledge his obliga-tions to Dr. Alexanderfor his kindness in fnr-nisliing the followingstatement, which isquoted in full: The object of thismethod is to remove Fig. 1827.—Transverse section of enlarged prostate imme-those portions of the cliatelybehintl openinij^s of seniinal ducts. ^ f/.^.^Enlarged enlarged prostate whichcause obstruction, withas little injury to theurethra and bladder aspossible. It is based upon the following anatomical facts, which have beendemonstrated by the writer: 1. The prostatic urethra may be divided surgi-cally into two parts, the one lying above the openings of the seminal ducts(vesical portion), the other lying below the seminal ducts (urethral portion)(Fig. 1327). The walls of the vesical portion of the prostatic urethra arecomparatively thick, and from this portion of the urethra the prostate may
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anterior parts of lateral lobes (can be enucleated), b. En-larged posterior part of lateral lobes (left after ennclea-tion). 4- Upper wall of urethra, urethral opening ap-pearing as a vertical slit, with the vera montanum below,(From Alexanders collectiou.) 113S OPKRATIVE SURGERY. be easily removed without injury to the mucous membrane. Tlie walls ofthe urethral portion of the prostatic urethra are much thinner and dependvery largely for their support upon the prostatic tissue which surrounds thecanal. 2. From the central fibrous jjortion of the prostate, which lies behindthe urethra, there extend laterally outward strong trabeculae to the fibrous

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