File:On bandaging and other operations of minor surgery (1867) (14578844118).jpg

Identifier: onbandagingother00sarg (find matches)
Title: On bandaging and other operations of minor surgery
Year: 1867 (1860s)
Authors: Sargent, F. W. (Fitzwilliam), 1820-1889 Atlee, W. F
Subjects: Military Medicine Bandages Surgical Procedures, Minor Bandages and bandaging Surgery, Minor Medicine, Military
Publisher: Philadelphia : Henry C. Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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e line of flexure of the groin;(fig. 163.) With a moderate degree of force, the instrument,still in this line of direction, is pressed onwards through thecanal until its point reaches the membranous portion of theurethra beneath the arch of the pubis, when the right hand ofthe surgeon, and with it the catheter, is gradually raised am?at the same time carried towards the middle line of the abdo-men, after which it should be thrown downwards more andmore between the thighs ; its passage through the circle of thesphincter muscle at the neck of the bladder will be indicated,generally, by a slight shiver, or tremor, or a sensation of nau-sea, on the part of the patient, and its entrance into the blad-der itself by the escape of urine through it; this should beprevented by the application of the thumb upon the open endof the catheter. With practice, the instrument may be introduced into thebladder, if the urethra be in a healthy condition, without 310 INTRODUCTION OF THE CATHETER, Fig. 163.
Text Appearing After Image:
toUt-viiDg; the penis at all with the hand, after the point ofthe ciiibner has entered the orifice of the canal; and thiswill t)e found to be the least painful method to the patient,Hs wrii tjs the one perhaps least liable to obstacles, for theinstrument will glide along through the urethra withoutbein^ deviated by any forced position of the penis. Ineither method, an instrument of as large a diameter as theurethra will admit will be more easily introduced than asmall one. Some of the French surgeons are fond of practising thetour (le maitrc, as it is called, and this will sometimesanswer when the more common method has failed. The):)atient may either stand, or lie down, or occupy a sittingposture: the surgeon stations himself on the right side, andcarries the instrument down the urethra to the arch of thepubis, with the concavity looking downwards ; when ithas rearbcd this point, lie gives it a turn of a half circle, soas to bing it j):ii-all(l with the middle line of the body, the I

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