File:Lectures on appendicitis and notes on other subjects (1897) (14578427417).jpg

Identifier: lecturesonappend1897morr (find matches)
Title: Lectures on appendicitis and notes on other subjects
Year: 1897 (1890s)
Authors: Morris, Robert T. (Robert Tuttle), 1857-1945
Subjects: Appendicitis Surgery, Operative
Publisher: New York, G.P. Putnam's Sons
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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are useless for the preventionof hernia. I have always made it a rule to suture structures separately Repair of Abdomijial Wall. 11 i and with the utmost degree of precision, feeling that in that luay oi.lycould structures be left as iiiey were found. Silk or silver wire havenever been used for closing my abdominal wounds. Silk-worm gutwas employed in perhaps twenty cases. Kangaroo tendon was triedsatisfactorily in a few, but small chromic catgut was used for the hun-dreds. Of late years my sutures have not been passed through theadipose layer of abdominal Avails, as the fatty layers are perfectlyapproximated by atmospheric pressure after the deeper tissues andskin have been accurately sutured with fine catgut. AN ADDITION TO McGUIRES OPERATION TOR A SUPRA-PUBIC URETHRA. Ix only one case has there been occasion to try the following re-source, because patients with hypertrophy of the prostate gland undercareful palliative treatment and management do not often requiresurgical operation.
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Fig. 38.—A. Rectus abdominis muscles. B. Skin flaps outlined. C. Skin flaps dissected from attachments and turned down. This patient, sixty years old, could not be relieved by the resourceswhich were faithfully applied, and he was suffering from chronic septi- Suprapzibic Urethra. I I cemia from an aggravated suppurative cystitis. He could not pass acatlieter or empty the bladder completely without a catheter. Hisprostate gland was large and irregularly hypertrophied. An in-cision four inches long, was made in the middle abdominal line, end-ing at the pubes. Then an incision was made on either side of themid-line incision, making two strips of skin which were to be employedlater for forming a supra-pubic urethra. The bladder was broughtup to the opening in the abdominal wall, and held temporarily withsutures. As in the Hunter McGuire operation, the bladder was thenopened at the lowest anterior point. The strips of skin together with

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