Suprapubic cystotomy : its technique illustrated by anatomical preparations / by Frederic S. Dennis.

  • Dennis, Frederic S. (Frederic Shepard), 1850-1934.
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: Suprapubic cystotomy : its technique illustrated by anatomical preparations / by Frederic S. Dennis. 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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    demonstrations and by experimental work upon the cadaver. The results of these experiments have proved the safety of exploration of the bladder by the sectio aha. It is interesting to observe in this connection the different stages through which the operation has passed, from the earliest recorded dates down to the present time. In studying the history of the operation in chrono- logical order, one is forcibly impressed with the fact that the present complete and perfect method of performing epicystotomy is not due to the entire work of any individual. The operation as it is now performed, according to the technique recommended by Garson and Petersen, has been the result of a gradual growth and steady development. The work of the anatomist has been supplemented by the sur- geon. Practical applications have been made of knowledge obtained by experimental work. Supra- pubic cystotomy of the present century differs from the suprapubic cystotomy of the sixteenth century only in the perfection and completion of the details. The same general principles were formerly recog- nized, as I shall endeavor to point out, and it has been through the improvement of these different methods that the present complete operation has been perfected. In other words, improvements in the technique, rather than the introduction of any new principle, have given us this eminently satisfac- tory operation. I shall endeavor to prove that the suprapubic operation of to day owes its parentage to the original operation. In reading the early description of this operation, it is obvious that the great dangers were fully recog- nized, but the exact way in which to avert these dan- gers was not understood. The prevention of injury to the peritoneum and the avoidance of urinary in-