File:Illustrated Medicine and Surgery (1888) (14784243873).jpg

Identifier: illustratedmedic01newyuoft (find matches)
Title: Illustrated Medicine and Surgery
Year: 1888 (1880s)
Authors:
Subjects:
Publisher: New York
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: MSN

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
from theentire cicatricial surface shown in Plate 49,including also the imier surface of theloose flap of skin. The under surface of the penis was thus rendered completely raw, nearly back to the scrotum. The loose flap was easily brought to the edge of the fistula, and carefully stitched to thatedge. I then cut a large square flap of skin from the left side and dorsum of the penis, and twisted itso as to bring it to the left edge of the fistula, where it was also stitched in place. These flaps werealso stitched to one another above and below the fistula, and also to the base of the glans penis.Tiie fistula was left, of course, as large as before, but was surrounded with healthy integument. Thecondition after this operation is shown in Fig. 51. C, the fistulous opening; B, the loose flap stitched * For tl.e originM .Iravvings of this cms,, anil also for great care during its treatment, I am much iudebtcd toDoctor Kobert AbbC, wl,o «as then House iSurgcou at St. Lukes Hospital. I GO )
Text Appearing After Image:
Fig. 51. FISTULA OF THE URETHRA. to the right edge of the fistula, and A, the flap twisted from the left side and dorsum. The penis wasthen enveloped in liut soaked in carbolized water, and suhntquenUy the urine ivas regularly andcarefully drawn hj introducing the catheter through theperinmal wound. At the end of the fii-stweek union was found to be complete, with the exception of the attachment on the right side,where a small portion of the flap broke away, and renminbi slightly undermined at the extreme edge.All granulating points having cicatrized, I took the second step in the case on January 17,1S76. The perinseal wound had already closed, and I again freely opened it. It was necessary toconstruct a floor to the urethra, which was accomplished in a manner similar to, and suggested by, theoperation described by Julius Von Szymanowski,in his Ilandbuch der operativen Chirurgie, page 405.On the right of the fistula, where the skin was already slightly undermined, the knife was intr

Note About Images