History of circumcision from the earliest times to the present : $b Moral and physical reasons for its performance, with a history of eunuchism, hermaphrodism, etc., and of the different operations practiced upon the prepuceRemondino, P. C. (Peter Charles)
Religion
History of circumcision from the earliest times to the present : $b Moral and physical reasons for its performance, with a history of eunuchism, hermaphrodism, etc., and of the different operations practiced upon the prepuce
Remondino, P. C. (Peter Charles)
Circumcision
"When the patient is etherized, the outline of the posterior border of
the glans is marked on the skin with an aniline pencil. The skin of the
prepuce is slit and removed up to the aniline line. The mucous membrane
is next cut away, leaving only a free edge of about one-eighth of an
inch in width. Any bleeding which occurs should be entirely arrested,
and asepsis must be insured by frequent sponging with carbolic or
sublimate solution. Numerous coarse-hair stitches are then inserted, so
as to bring accurately together the fresh-cut edges of the skin and
mucous membrane, and subsequently, after a further sponging and drying,
a piece of gauze two layers of thickness, and wide enough to reach from
the root of the penis nearly to the meatus, is wrapped loosely around
the penis and secured by several applications of the collodion-brush.
The setting of the collodion is hastened by the use of a fan, so that
the air is kept in motion, and the patient should not be allowed to
recover from the anaesthetic until the dressing is quite firm and hard.
This dressing forms a carapace for the penis, protecting it from the
bedclothes and effectually preventing the annoying and distressing
erections. Mr. Ballance reports excellent results from this dressing."
(Braithwaite's _Retrospect_, July, 1888.)
In applying the above dressing, the shrinking incident to the drying of
the collodion must not be overlooked, and the gauze layers must be
loosely applied, as they would otherwise become too tight. The dressing
is a very ingenious and serviceable one.
Mr. A. G. Miller, at a meeting of the Edinburgh Medico-Chirurgical
Society, reported a new method of dressing after circumcision. "It
consisted in first closely suturing the skin and mucous membrane by
numerous catgut sutures, then painting the surface with Friar's balsam
and covering it over with two or three layers of cotton wadding, on
which the balsam is poured. The glans penis was left sufficiently free
to allow of water passing. The band or ring of dressing should be at
least one inch broad. The dressing was not suitable for young infants
who were frequently wetting. In the case of older children, they might
be allowed to go about on the second or third day, when the dressing
would be quite dry, and would not be required to be changed or renewed."
(Braithwaite's _Retrospect_, January, 1888.)
Any constricting or immovable and inelastic dressing is subject to the
same objections as plaster-of-Paris dressings in thigh-fractures,--that
of being dangerous and not expedient, unless the patient is constantly
under your eye.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account