OCR Text |
Show :360 or run OPERATION WITH 'riin emu, OF THE OPERATION \VITH THE KNIFE. the side of the bone. It is, therefore, particularly apt to cut the internal pudic artery. To avoid the artery in this operation, formerly they lifted the knife too little, and the consequence was, that they had to introduce it, and pull it through again and again, or that the forceps were thrust in with difficulty, and, of course, were grasped with firmness by the neck of the bladder. Lastly, the surgeon is in great danger of cutting the rec- tum by this unguarded drawing of the instrument, as hap- pened to Frero Cosme, and those surgeons who then imitat~ ed him. OI‘EI'J,'IIO.\' 0F LI'HIOIOMY \VIIH THE KXlFLL / ), / Remnants-A stail‘, grooved on the right side-A scal~ ' . ,4 ' //// {/7 . l I / .\, MWt/ré%%//h/M/,, pol, with a straight back-The common lithotomy forceps. Anrmu n n lt\t\\kl\\m' ‘A M k ' in". These three instruments are all which should be required; yet the operator would choose to have all which are occasionally necessary in the operation with the gorget. The staff is kept in the centre, and well home into the bladder. The surgeon, making his incision under the arch of the pubes, and by the side of the anus, carries it deeper The knife is run on in the groove of the stafl", until the ‘urine flows. The fore-finger follows the knife, and is slipped along the back of it, until it is in the bladder; and this is the position of the knife, fig. 1. towards the face of the prostate gland ; cutting near to the stafl", but yet not cutting into it, and avoiding the rectum, by pressing it down with the finger. Now, carrying the finger along the stafi", the prostate gland is felt. The point of the knife is rim somewhat 0b" iiquely into the uretlira,‘and into the lateral groove 01' the shit, just before the prostate gland. x innirt,"in . \\\\\// I / "lb .h \\‘ NY‘V .. . p Having carried the fore-finger into the bladder, it is kept there, and the knife is withdrawn; then, directed by the fin ger, the forceps are introduced into the bladder. 3 mm M099» |