The object of this short paper is to bring to your notice an operation, which though described in several works on surgery in the German1 is not mentioned (so far as I have been able to investigate) in any English or American text-book on surgery, with the exception of the English translation of Kocher's "Operative Surgery" recently published. I do not believe that the technique of this operation as practiced by Trendelenburg, Tillman, Kocher and other Continental surgeons is generally known or practiced in this country. The operation I have reference to is the operation of supra-pubic cystotomy, by a transverse incision through the skin and abdominal muscles, without previous inflation of the rectum or injection of the bladder. This operation is known as Trendelenburg's method of supra-pubic cystotqmy (sectio alta) by means of the transverse incision.
This method was first suggested by Günther and carried out afterward by
MEISENBACH AH. SUPRA-PUBIC CYSTOTOMY FOR CALCULUS IN THE BLADDER. TRENDELENBURG'S TRANSVERSE INCISION—TRANSVERSE DIVISION OF THE RECTI AND PYRAMIDALIS MUSCLES—INCISION OF THE BLADDER WITHOUT INFLATION OF THE RECTUM OR INJECTION OF THE BLADDER. JAMA. 1895;XXIV(11):393–396. doi:10.1001/jama.1895.02430110011001b
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