A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners.

  • Christopher Heath
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    141. To tic in a catheter.—Various modes of perroi-mlug this operation arc practised, of which 1 sliall describe three, as being most commonly used. lu all cases, if a silver catheter is used, the tapes will be made last to the rings at the end of the instru- ment, but if an elastic catheter is preferred, tlie tapes must be fastened securely to it by means of a clove- hitch, the nature of which is described in the chapter on dislocations. 1st method.—A piece of narrow tape, about twelve inches long, is ])asscd through both rings of the catheter, and tlie ends are brought down the opposite sides of the penis. The foreskin is then di-awn well forward, and a piece of strapping, half an inch wide, is carried circularly round the body of the penis three or four times immediately behind the glands, enclosing within it the ends of the tape. This method is very effectual provided the skin has been drawn well forward, for otherwise the catheter has too mwchplay. The strap- ping round the penis does not produce chordee, as might have been feared, since the plaister only adheres to the skin without materially compressing the organ itself 2nd method.—A tape is passed through the rings as in the former case, but a greater length is necessary. The ends are to be brought on each side of the scrotum and over the buttocks, to be fastened behind to a bandage passed round the waist. This method holds an instrument very securelj'- in the bladder, since it is impossible it can come out while the extremity is directed downwards, as it is if the tapes are properly tightened ; but it is unsuita- ble on this account, therefore, for cases where there is a tendency to chordee. 3rd method.—Por this an ivory or gutta percha ring, large enough to go easily over the penis, is necessary. As this method is a little complicated, it is well to avoid its repetition every time the catheter is changed, by tying separate pieces of tape to the rings of the