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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thebladder the tube is fastened to the dress-ings with a safety pin. Should washing out of the bladderbe desired, it is easily done without dis-turbing the wound. Take off the clamj)(d) and pinch the tube tightly below a. The contents of the fountain syringewill then run freely into the bladder.Cease pinching below a, close the tube at(/, and the fluid will run by siphonageout of the bladder into the bucket below. Sometimes it is desirable to knowthe exact amount and the appearance ofurine drained away ; also we may wish toanalyze that urine undiluted by fluidfrom the reservoir. Then insert in a break (e) at any pointin the tube leading from the bladder the chemists wash bottle with its usualequipment—a tight-fitting rubber stopper and two glass tubes—thus the urinecan be collected and the amount and characteristics can be determined. The Remarks.—The catheter (c) is passed through a brief segment (/) ofrubber tubing, which latter just enters the bladder, and is fastened to the
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Fici. Io20.—Dawbarns apparatus forbladder drainage. a. Point ofjunction of tubes, h. Knot trapin main tube. c. Opening in endof tube. d. Forcipressure Hinit-ing lumen of tube. e. (liemistswash bottle. /. External segmentof rubber tubing through whichcatheter passes into bladder. OiEKATlUNS ON TUK UlilNAKV ULADDKIl. 1129 central tube with a stitch, and is lield in place by another stitch connectedto the )ilaster dressing of the wound. Air can ))ass between the tubes. Ifthe urine \>e thick a larger catheter (No. ;)() F.) should be employed. Artificial Urethra in Prostatic Obstruction.—The formation of a so-calledartilicial urctiira above the pubes in cases of obstinate prostatic obstruction isa measure of important moment in many instances attended with septic inflam-mation of the bladder. After thorough attention to aseptic details directedto the seat of the operation and to the vesical cavity, cause the elevation ofthe bladder above the pu))os by the careful em))loyment of the

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