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Of the many methods suggested to control hemorrhage following suprapubic prostatectomy, such as gauze packing and fat implantation, the use of the inflated rubber bag of Francis R. Hagner of Washington, D. C., has been found most satisfactory. After the enucleation of the prostate is completed, a curved staff is inserted through the urethra into the bladder and its tip made to protrude through the suprapubic opening. Over the protruding end of the sound or staff the rubber tube which is attached to the bag is pushed. The sound is then withdrawn, and with it the tube which brings the rubber bag into the bladder. The bag is distended with air or water and then drawn down into and against the vesical orifice, thus compressing the cavity from which the prostatic tissue was removed. Hemorrhage can be controlled only if this inflated bag is held securely in position.
Hamer HG. A DEVICE FOR THE CONTROL OF HEMORRHAGE FOLLOWING SUPRAPUBIC PROSTATECTOMY. JAMA. 1917;LXVIII(23):1694–1695. doi:10.1001/jama.1917.04270060102009
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