The Student's Surgery; a Multum in Parvo

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Baillière, Tindall and Cox, 1890 - 817 pages
 

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Page 753 - ... its last twelfth of an inch, so as to form a canal for the reception of a delicate whalebone guide. The catheter eye is on the concave side of the instrument, about threefourths of an inch from its point, and is kept closed by a well-fitted stylet. The curve of the instrument is equal to one-fifth of the circumference of a circle three inches and a quarter in diameter.
Page 433 - ... pair of bone-nippers. I next divided the fibula about an inch and a half above its inferior extremity, and cutting through the inferior tibio-fibular ligaments detached the external malleolus.
Page 745 - that from the very fact of a woman having a discharge, no matter what its origin, she is liable to give a discharge to a man.
Page 751 - No instance has been found of stricture of the prostatic portion of the urethra. The above strictures correspond to the subpubic curvature. (2) In the centre of the spongy portion, or that portion of the urethra which extends from the anterior limit of the preceding to within two inches and a half of the external meatus, a length of about three inches.
Page 764 - T bandage, — a catheter being kept in the bladder. The following directions are given by Mr Syme, as essential to the success of this operation : — 1. Maintain the median line in the incisions. 2. Make a direct opening down to the staff, not a tortuous one. 3. Divide the whole of the contracted part, rather more than less. 4. Do not cut so far back as to endanger the deep fascia of the perineum, and use the knife in the deep incisions with the cutting-edge uppermost. 5. Do not close the end of...
Page 761 - ... on this wire a tube — which when introduced between the blades corresponds to the natural calibre of the urethra — is quickly passed, and thus ruptures or splits the obstruction.
Page 369 - Roser-Nelaton line (a line drawn from the anterior superior spinous process of the ilium to the tuberosity of the ischium).
Page 705 - I move the point of the knife along the groove towards the bladder a few lines, and then withdraw it, cutting upwards, so as to leave an external incision of from three-quarters of an inch to an inch and a half, according to the presumed size of the stone. The escape of urine indicates the entrance to the urethra. I then introduce a long, ball-pointed probe, or wire, through the external opening into the groove of the staff, and slide it into the bladder to sufficient depth to insure its safe lodgment...
Page 377 - seized by the foot and knee and rotated outwards, the leg flexed and carried over the opposite knee and thigh, the heel kept well up, and the knee pressed down. This motion was continued by carrying the thigh over the sound one as high as the upper part of the middle third, the foot being kept firmly elevated. Then the limb was carried directly upwards by elevating the knee, while the foot was held firm and steady, at the same time making gentle oscillations by the knee, when the head of the bone...
Page 779 - Yesico-vaginal fistula : The patient should be in her best state of health, and the bowels should have been well cleared out. Chloroform having been given, the woman is placed either on her side, with the knees well drawn up, or in the usual lithotomy position. The parts being well exposed by the duck-bill speculum, and the nates being held widely apart by an assistant, the operator proceeds...

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