This historic book may have numerous typos and missing text.
Purchasers can download a free scanned copy of the original book
(without typos) from the publisher. Not indexed. Not illustrated.
1906 Excerpt: ...above the deep transverse perineal muscle and the
attachment of the levator, from the anterior wall of the rectum to
the prostate and is closely attached above the bulbous urethra.
This muscle should be transversely separated between two clamps
closely behind the bulbous urethra in order to reach the prerectal
space and thus easily attain the prostate. After freeing the
capsule they split the prostate in the median line and separate the
urethra from the membranous portion down to the bladder. Through an
opening in the urethra a finger is inserted into the bladder, pulls
the gland downward, loosening it from its capsule. It is then
enucleated. In completing the operation they close the urethra with
sutures. Von Mikulicz (sevety-sixth Versamml. der. Naturforscher u.
Aerzte.) makes an incision in the raphe. He then resects a portion
of the pos terior wall of the urethra, but endeavors to preserve
the neck of the bladder and sphincter as far as possible. He
employs Young's tractor in pulling the prostate forward. The
operation is completed with drainage through a catheter and a tube
in the bladder. According to this surgeon the functional results
obtained have been good. Albarran (Zentralbl. f. d. Krankh. der
Ham. u. Sex. Organe, 1904) also emphasizes the fact that injury to
the neck of the bladder must be avoided. He fixes the prostate with
forceps and cuts it away piecemeal. He pulls forward with the
finger introduced in the bladder that portion of the gland lying
underneath the bladder and also removes it with the scissors.
Larger pieces are removed by blunt dissection. If digital
examination reveals an enlargement of the socalled middle lobe, the
latter is either pushed down into the wound, or the vesical mucosa
covering it is incised, after which the lobe ...
|Country of origin:
||246 x 189 x 22mm (L x W x T)
||Paperback - Trade
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