ISBN: 9780217065184

Unknown Author, Created by General Books, Paperback, English-language edition, Pub by General Books LLC Books The-American-Journal-of-Obstetrics-and-Diseases-of-Women-and-Children~~Unkno… More...

Unknown Author, Created by General Books, Paperback, English-language edition, Pub by General Books LLC Books The-American-Journal-of-Obstetrics-and-Diseases-of-Women-and-Children~~Unknown-Author General Books LLC Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: those cases in which it appears as a mere slit in the vesical mncosa. Quite the contrary is true in the free-bandcatheter- ization of the ureter by Pawlik's method. A valuable aid for the beginner searching for the ureteral orifice is Fio. 8.?Speculum and obturator (two-thirds natural size). the following: A point is marked on the cystoscope five and a half centimetres from the vesical end, and from this point Fio. 9.?Direct inspection of bladder by reflected light; electric bulb with reflector held above symphysis pubis; hips in moderate elevation. two diverging lines are drawn toward the handle with an angle of sixty degrees between them (Fig. 13). The speculum isintroduced up to the point of the V and turned to right or left until one side of the V is in liQe witu tne axis of the body; then by elevating the endoscope until it touches the floor of the bladder the ureteral orifice will usually be found within the area covered by the orifice of the speculum. The ureteral orifice can often be found by an adept at once, and almost instinctively, by a single movement of the speculum after its introduction into the bladder. In order to ascertain whether it is the ureter which lies within the field, I use as a searcher (Fig. 14) a long, delicate sound with a handle bent at an angle of 120, which is introduced through the speculum into the suspected ureteral orifice (Fig. 15). If it be the ureteral orifice which is under inspection, the searcher passes easily from two to six centimetres up the Flo. 10.?Suction apparatus (three-fourths natural size) used for withdrawing residual urine. ureter, and the lateral walls of the orifice are slightly raised, appearing as distinct folds with a dark pit between them. The searcher may be withdrawn and a ureteral cathe...<

ISBN: 021706518X

Taschenbuch, [EAN: 9780217065184], Cambridge Scholars Publishing, Cambridge Scholars Publishing, Book, [PU: Cambridge Scholars Publishing], Cambridge Scholars Publishing, 54071011, Genres… More...

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