File:A text-book of gynaecological surgery (1911) (14578556140).jpg

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English:
Transfixion of prolapsed urethra

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. 40.—Excision of a urethral caruncle. is necessary to cure this condition. Therefore, althoughthe operation is a simple one, it behoves the operator todo it very thoroughly, in order to obviate recurrence ifpossible. In addition, it is desirable that the patientshould be informed of this tendency to recurrence, leston its taking place she should suspect the operator ofbeing unskilful. 90 GYNAECOLOGICAL SURGERY PROLAPSE OF THE URETHRAPreparation of the patient.—See pp. 78-82.Instruments.—Clovers crutch, dissecting forceps, two pairs of Spencer Wells forceps, two curved needles No. 13, scissors, and silk No. 1. Operation.—That portion of the urethra which is
Text Appearing After Image:
. Fig. 41.—Transfixion of prolapsed urethra. prolapsed is caught with pressure-forceps and drawn for-wards so as to put it on the stretch. A suture is thenpassed across the urethral canal, in its passage transfixingthe prolapsed mucous membrane (Fig. 41). The mucousmembrane in front of the suture having been removed withscissors (Fig. 42), that portion of the suture which can beseen traversing the urethral canal is pulled down out ofthe canal and divided so that two sutures are now avail-able (Fig. 43), one to anchor the cut mucous membrane SUBURETHRAL ABSCESS 9i to the orifice on the left side and the other for the samepurpose on the right side. These sutures having beentied, the cut edge of mucous membrane is sutured to theurethral orifice with as many interrupted sutures asmay be found necessary (Fig. 44). Complications.—This operation may result in a slightamount of stricture at the urethral orifice if the operatorhas improperly cut away part of the mucous membrane

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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:107
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
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28 July 2014

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