File:Anatomy, descriptive and surgical (electronic resource) (1860) (14761855601).jpg

Identifier: b20386424 (find matches)
Title: Anatomy, descriptive and surgical (electronic resource)
Year: 1860 (1860s)
Authors: Gray, Henry, 1825-1861 Carter, H. V., ill Westmacott, John Guise, Dr, ill
Subjects: Anatomy
Publisher: London : J.W. Parker
Contributing Library: Wellcome Library
Digitizing Sponsor: Wellcome Library

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same means, to direct thepoint of a catheter when its introduction is attended with much difficulty, eitherfrom injury or disease of the membranous or prostatic portions of the urethra. Behind the prostate is the posterior surface of the neck and base of the bladder;a small triangular portion of this organ is seen, bounded, in front, by the prostategland; behind, by the recto-vesical fold of the peritoneum; on either side, by thevesiculse seminales and vasa deferentia; and separated from direct contact with therectum by the recto-vesical fascia. The relation of this portion of the bladder to the rectum is of extreme interest to the surgeon. In cases of retention of urine,this portion of the organ is found projecting into the rectum, between three andfour inches from the margin of the anus, and may be easily perforated during lifewithout injury to any important parts; this portion of the bladder is, consequently, 393.—A View of the Position of the Viscera at the Outlet of the Pelvis.
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frequently selected for the performance of the operation of tapping the bladder.If the finger is introduced into the bowel, the surgeon may learn the position, aswell as the size and weight, of a calculus in the bladder; and in the operationfor its removal, if, as is not unfrequentiy the case, it should be lodged behind anenlarged prostate, it may be easily displaced from its position by pressing upwardsthe base of the bladder from the rectum. Parts concerned in the Operation of Lithotomy. The triangular ligament mustbe replaced, the rectum drawn forwards so as to occupy its normal position, andthe student should then consider the position of the various parts in reference to the lateral operation of lithotomy. This operation is usually performed on the leftside of the perinceum, as it is most convenient for the right hand of the operator.A staff having been introduced into the bladder, the first incision is commencedabout an inch and a half in front of the anus, a little on the left s

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