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The control of hemorrhage following the removal of a prostatic adenoma by either the perineal or the suprapubic approach is the anxious concern of every operator. The popularity of the hemostatic bags of either the Hagner or Pilcher model attests their effectiveness. The use of these bags is almost entirely confined to those who remove the prostatic obstruction suprapubically.
The bladder is opened by median section, the adenoma removed by blunt dissection. A special sound with a Benique curve and a notched tip is then introduced through the urethra into the bladder and the bag threaded onto the tip of the sound. The rubber may or may not be held to the sound by means of a ligature. The sound is then slowly withdrawn through the urethra, pulling the bag down into the cavity left by the removal of the adenoma. The bag is inflated with fluid or air and
Swartz EO. A NEW INSTRUMENT FOR THE INTRODUCTION OF HEMOSTATIC BAGS IN SUPRAPUBIC PROSTATECTOMY. JAMA. 1926;86(20):1518. doi:10.1001/jama.1926.26720460002008b
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