A study of rupture of the bladder : with some experiments bearing upon the closure of the vesical wound / by Alex. W. Stein.

  • Stein, Alexander W., 1841-1897.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: A study of rupture of the bladder : with some experiments bearing upon the closure of the vesical wound / by Alex. W. Stein. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    already described. To what extent a retention catheter can be relied on for purposes of drainage may again be noted in the case of Walter, just cited, where an intraperitoneal rent two inches in extent was left open. SUTURING BLADDER TO ABDOMINAL WALLS. As early as 1716, Joh. Jacob Woyt (unterricht von den todtlichen wunden des gantzen menschlichen Leibes—Dresden, p. 417) recommended suturing the injured bladder to the abdominal wall, but I am not aware that this suggestion has ever been carried out until recently by T. G. Thomas of our city. In the course of a laparotomy for the removal of a large multilocular ovarian cyst, an incision had to be made through the anterior wall of the bladder in order to deter- mine the upper limit of the viscus which was adherent to the tumor. After the removal of the cyst the lips of the vesical incision were drawn up and clamped between those of the abdominal wound by means of silver sutures. A Sims’ sigmoid catheter was kept in the bladder. The sutures were removed on the tenth day, and, at the end of three months, the patient went home entirely well. With a view of further testing the feasibility of this pro- cedure, I undertook the following experiment on dogs. I am indebted to Dr. R. H. Harrison, House Surgeon of the American Veterinary College Hospital for the following notes : Experiment i, January 3d, 1882. Brown dog, partly setter, weight about 60 lbs., 3 years old. Etherized, suprapubic in- cision of abdomen. Bladder opened, on the end of a catheter introduced through the perineal incision to the extent of nearly an inch, and the vesical lips brought together with the abdomi- nal wound by means of silk sutures. Lister’s dressing— catheter tied in the bladder through a perineal incision. Jan- uary 4th, 8 a. M., temp. 104°; pulse 120; resp. 18; no appe- tite ; considerable depression; catheter removed thirty-six