Un Americano di libro di testo dei genito-urinario malattie, sifilide e malattie della pelle . hepubic regione viene rasata e aseptieally preparato; un catetere di metallo è intro-duced nella vescica e l'organo depurato con acido boracico-acido irrigazione; arubber borsa in grado di contenere dodici once di acqua è ingrassato, uponitself ripiegata longitudinalmente e introdotta nel retto, in modo che la sua estremità inferiore la liesabove sfintere interno, il tubo in gomma attraverso la quale è riempito extendsexternally circa cinque pollici. Nell'adulto dieci once di acqua e in chil-dren cinque, vengono iniettati nella vescica. Un grafico a torta

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An American text-book of genito-urinary diseases, syphilis and diseases of the skin . hepubic region is shaved and aseptieally prepared; a metal catheter is intro-duced into the bladder and the organ cleansed with boracic-acid irrigation; arubber bag capable of holding twelve ounces of water is greased, folded uponitself longitudinally, and introduced into the rectum, so that its lower end liesabove the internal sphincter, the rubber tube through which it is filled extendsexternally about five inches. In the adult ten ounces of water, and in chil-dren five, are injected into the bladder. A piece of tape is tied around thepenis so as to prevent the outflow of water from the bladder. Eight or tenounces of water are now injected into the bag. Unless the bladder is confinedto the symphysis by adhesions or is thick-walled and of small capacity, it willrise under this double injection prominently in the lower part of the abdomen, lifting the peritoneal fold from two to four finger-breadths above the bone(Figs. 137, 138). The bladder may be exposed by either the usual vertical. Fig. 137.—Bladder containing six and a halffiuidounces: rectum distended with fifteen fluid-ounces ; A and B mark the peritoneal folds. Fig. 138—Bladder containing fourteen fluid-ounces : rectum distended with sixteen fluid-ounces ; A and B, folds of peritoneum. incision between the recti muscles or by a crescentic cut having the center ofits convexity a little above the middle of the symphysis, the prevesical spacebeing laid open by deeper incisions through the muscles on the same line, orby a compromise, which the writer prefers, by employing the crescentic cutfor the skin and then exposing the prevesical space by the vertical incision, the advantage being that it is very easy to see the line of division between therecti as soon as the skin-flap has been turned up. There is little to recom-mend the transverse cut into the bladder proposed by Von Antal and referredto above. The prevesical space i

Parole chiave associate all'immagine

• bookcentury1800
• bookdecade1890
• booksubject
• booksubjectsyphilis