Identifier: 66911080RX2.nlm.nih.gov
Title: The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2)
Year: 1863 (1860s)
Authors: Smith, Henry H. (Henry Hollingsworth), 1815-1890
Subjects: Surgical Procedures, Operative Surgical Procedures, Minor
Publisher: Philadelphia : J.B. Lippincott & Co.
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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CATHETERISM. 475 urethra. Then, gradually depressing the handle so as to bring the shaftparallel with the thighs of the patient, cause the point thus to mount over thetriangular ligament, when the gush of urine may be checked by the thumbplaced over the orifice of the instrument until a vessel is held to receive it.In this movement, the end of the instrument should be made to describe thearc of such a circle as will enable the point to pass readily behind the pubis,as is shown in Plate LI. Fig. 4. After evacuating the bladder, keep theend of the catheter closed with the thumb until the instrument is removedfrom the patient and held over a vessel, when, on freeing it, the urine whichhas filled the instrument will escape without soiling the patient. The Tour deMaitre,or Master-stroke,consists in passing the cathe-ter through the spongy and bulbous portion of the urethra, with its mouthpresenting to the patients feet and with the convexity of the instrumenttoward the pubis. Then, on reac

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