A manual of minor surgery and bandaging : for the use of house-surgeons, dressers and junior practitioners / by Christopher Heath.

  • 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 / by Christopher Heath. Source: Wellcome Collection.

    113/454 (page 93)
    PAEAPHIMOSIS 98 cither do it himself, or see that a dresser thoroughly washes each instrument. The best way is to let the catheter lie for a few seconds in the water and then to hold it up witli the handle or rings downwards, by which means any blopd, (fee, is at once washed out in the readiest way. This should be repeated once or twice, and then th(( operator may blow through the instrument into the water, so as to make sure that the eyes are clear. After being dried with a towel, the catheter should again be blown through, so as to dry the interior, and the proper stiiette he immediately inserted. Tlie common method of blowing down a catheter hrfore washing it out simply drives any clot of blood cVt. down to the eyes, and makes its extraction nearly impossible. Catheters are now made with the insides as smooth as the outside, and solid beyond the eye so as not to retain any dirt. ' In order to obviate all possibility of contagion l)y nieans of catheters, it is well to use a weak solution ot carbolic acid for washing all urethral instruments and to employ carbolic oil (gr. x ad f = ]) for lubri- cating them prior to use. Mr. Lund recommends for this purpose a mixture of almond oil f-jss, castor oil t|ss, crystalline carbolic acid 5j. Paraphimosis.—Boys are sometimes l)rouglit to a hospital on account of the foreskin having got behind the glams penis, so that they are unable to return It, and tlie disorder will be met with in men as a not uncommon accompaniment of gonorrhoea. Jf tlie • case IS seen early, reduction is readily effected : but I if oedema and even ulceration have supervened it is by no n.cans an easy task, but one which may be invariably accomplished in the following way --The patient should be placed upon a couch, Ld ti e ^ opera or, grasping the foreskin with the fingers of 'Kd 3'^ towel intervening), should squeS tiS bjcmd and serum out of it as much a.s possible. The