File:Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and (14781667001).jpg

Identifier: minorsurgeryband00whar (find matches)
Title: Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, etc.
Year: 1902 (1900s)
Authors: Wharton, Henry R. (Henry Redwood), 1853-1925
Subjects: Surgery, Minor Bandages
Publisher: Philadelphia, New York, Lea brothers & co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Bulbous or acorn-pointed bougies. Filiformbougies. Steel sound. Sound for dilatingmeatus. curve than the ordinary sound is used for exploration ofthe bladder for calculus or tumor. Introduction of a Catheter.—For the introduction ofa catheter, the patient may be in the standing, sitting, or INTRODUCTION OF A CATHETER 263 recumbent posture—the latter is the best in most cases ;he should resl squarely on his back, and have the thighsa little Hexed and separated. Before passing a metallic catheter, the surgeon should seethat it has been sterilized, and after warming and oiling ithe stands upon the left side of the patient and grasps the Fig. 183.
Text Appearing After Image:
Introdurtion f a ratheter. (Voillemier.) penis with the left hand, and turns it over the pubis andintroduces the beak of the catheter into the meatus, andgently passes it along the urethra until its point passesbeneath the symphysis pubis; at this point the handle iselevated and gently depressed between the thighs, whenthe beak will pass into the bladder (Fig. 183). 261 MINOR SURGERY. In passing a catheter in case of enlarged prostate, whenthe prostatic region is reached difficulty is sometimes ex-perienced in the further passage of the instrument; thisma)7 be overcome by introducing the finger into the rectumand guiding the catheter through the prostatic urethra ; orif the prostate is found much enlarged, the catheter shouldbe withdrawn, and a prostatic catheter (Fig. 175) substi-tuted. The same manipulation is practised in passingmetallic sounds. Flexible catheters and bougies are passed by graspingthe penis and holding it in such a position that it is ata right angle to the

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