Identifier: preparatoryafter00haub (find matches)
Title: Preparatory and after treatment in operative cases
Year: 1910 (1910s)
Authors: Haubold, Herman A. (Herman Arthur), 1867-1931
Subjects: Preoperative Care Postoperative Care
Publisher: New York and London, D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 336.—Irrigation of Bladder with Two-way Catheter. (Kelly.) shows the apparatus in use. Care must be exercised not to permitthe funnel to become empty during the manipulations, or air willbe sucked into the bladder by the entering column of water anddistressing tenesmus is provoked. The advantage the methodhas over the use of the irrigator or syringe is that the pressureis easily regulated by the elevation of the funnel, and this should VAGINAL HYSTERECTOMY 539 not be held higher than will provoke a moderately rapid flow ofcleansing fluid into the bladder. By lowering the funnel to be-low the level of the bladder the contents can be siphoned off. The measures related above usually achieve the purpose in afew days. However, in a certain number of cases the symptomspersist, and, indeed, chronic ulcerative cystitis has occurred underthe conditions mentioned.
Text Appearing After Image:
Fig. 337.—Method of Continuous Irrigation of Bladder with Patient in Bedon Bed Pan. (Kelly.) Kelly employs in these cases irrigation of the bladder, asstated, using a solution of nitrate of silver (1-1,000) for the pur-pose. A small quantity of the solution (4 ounces) is left in thebladder to be voided at the next urination. In very obstinatecases, where ulceration is present, Kelly subjects the bladder tocontinuous irrigation with a warm boric acid solution. The pa- 540 GYNECOLOGICAL OPERATIONS BY PERINEAL ROUTE tient is postured as shown in Fig. 337. A double soft rubbercatheter (Fig. 336) is introduced through the urethra into thebladder, and held in place with a perineal pad fastened with atape around the waist. The upper catheter is connected with anirrigator, as shown in the illustration, the lower one is led intoa pan, and the latter drains into a jar, as shown in Fig. 337. Theirrigation may be maintained for several hours at a time, at theend of which time the irrigating tub

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