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    none: 0010 - Page 4 - Urétrite postérieure. Cystite du col. Chancre mou et chancre syphilitique.
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  none: 0012 - Page 6 - Phimosis. Circoncision. A. Chez le nouveau-né.
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    none: 0012 - Page 6 - Phimosis. Circoncision. A. Chez le nouveau-né.
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    none: Fig. 1. Phimosis chez un nouveau-né/ Fig. 2. 1er temps. Le prépuce est attiré au-delà du gland après dissociation des adhérentes épidermiques/ Fig. 3. Id. Coupe de la verge montrant le point où se fera la section du prépuce.
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  none: 0013 - Page 7 - B. Chez l'adolescent.
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    none: 0013 - Page 7 - B. Chez l'adolescent.
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    none: Fig. 4. 2e temps. Introduction de la lame d'aluminium qui repousse le gland/ Fig. 5. 3e temps. Aspect du prépuce après l'application de l'écraseur. On voit le gaufrage de l'épiderme/ Fig. 6. La circoncision est terminée. Coupe de la verge montrant ce qui reste du prépuce.
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  none: 0014 - Page 8 - C. Chez l'adulte. 1° Procédé de l'écrasement extemporané.
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    none: 0014 - Page 8 - C. Chez l'adulte. 1° Procédé de l'écrasement extemporané.
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    none: Fig. 7. Aspect du gland tel qu'on le mettait autrefois à découvert dans les cas de balano-posthite par une incision dorsale. On pratiquait ensuite la circoncision/ Fig. 8. Circoncision par le procédé de l'écrasement extemporaire de Doyen première application de l'écraseur.
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  none: 0015 - Page 9 - 2° Circoncision avec extirpation complète de la muqueuse.
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    none: 0015 - Page 9 - 2° Circoncision avec extirpation complète de la muqueuse.
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    none: Fig. 9. Id. 4e temps. Écrasement de la région du frein. On voit latéral l'accolement épidermiques.
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    none: Fig. 10. Circoncision avec extirpation presque complète de la muqueuse. Les incisions montrent les sections de la peau et de la peau et de la muqueuse/ Fig. 11. Id. Coupe frontale, passant en avant de urètre On voit que la peau est ménagée tandis que la muqueuse doit être extirpée presque en totalité/ Fig. 12. ID. 3e temps. Arrachement du lambeau muco-cutanée. Les vaisseaux sont étirés et ils ne saignent pas/ Fig. 13. ID. 4e temps. Suture de la muqueuse à la peau par trois surjets dont les chefs ne sont pas noués.
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  none: 0017 - Page 11 - Hypospadias. A. Hypospadias balanique.
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    none: 0017 - Page 11 - Hypospadias. A. Hypospadias balanique.
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    none: Fig. 14. Aspect de la réunion de la muqueuse à la peau, sur une coupe frontale, passant en avant de urètre Le gland est entièrement découvert/ Fig. 15. Pansement de la circoncision/ Fig. 16. Vue latérale d'un cas d'hypospadias balanique/ Fig. 17. Idem. Coupe sagittale du pénis.
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  none: 0018 - Page 12 - B. Hypospadias scrotal.
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    none: 0018 - Page 12 - B. Hypospadias scrotal.
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    none: Fig. 18. id. Schéma de l'incision en raquette pour la dissection de urètre et de l'avivement en A de la gouttière sous-balanique/ Fig. 19. Id. urètre a été disséqué. Perforation du gland/ Fig. 20. Id. L'opération est terminée. Schéma des sutures.
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    none: Fig. 21. Id. 1er temps. Incision en raquette et dissection de l'extrémité de l'urètre/ Fig. 22. Id. 2e temps. L'introduction d'une sonde de gomme dans urètre facilite sa dissection jusqu'à la partie moyenne de la verge.
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  none: 0020 - Page 14
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    none: Fig. 23. Id. 3e temps. Le gland vient d'être perforé l'urètre va être attiré au travers du canal creusé dans le gland. La laxité du tissu spongieux qui entoure la muqueuse permet un allongement considérable/ Fig. 24. Id. 3e temps l'urètre apparaît à l'extrémité du gland où on va le fixer par 5 ou 8 sutures de soie fine, à points séparés.
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    none: Fig. 25. Id. 5e temps. Suture des tissus celluleux péri-uréthraux avec de la soie très fine et une aiguille à artériorrhaphie/ Fig. 26. Id. L'opération est terminée. Aspect des sutures extérieures. La sonde a été laissée pour la photographie afin de montrer la situation du nouveau méat.
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  none: 0022 - Page 16 - C. Hypospadias total. Épispadias.
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    none: 0022 - Page 16 - C. Hypospadias total. Épispadias.
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    none: Fig. 27. Épispadias pénien.
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  none: 0023 - Page 17 - Malformations acquises. Fistule transversale de l'urètre pénien. Fistule longitudinale de l'urètre pénien.
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    none: Fig. 28. Id. L'opération est terminée. Aspect de la suture.
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    none: Fig. 29. Fistule longitudinale de l'urètre pénien.
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    none: Fig. 30. Id. Avivement des bords de la fistule par déroulement.
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    none: Fig. 31. Id. La suture de l'urètre est terminée.
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    none: Fig. 32. Id. La suture de la peau est terminée.
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    none: Fig. 33. Id. Incision latérale pour l'avivement par dédoublement dans les cas où la muqueuse est insuffisante. On ménage un petit lambeau cutané qui sera rabaissé vers l'urètre/ Fig. 34. Id. Réduction des petits lambeaux profonds dont la suture reconstitue la paroi antérieure de l'urètre/ Fig. 35. Id. Même opération. Réunion de la peau.
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    none: Fig. 36. Id. Schéma de la reconstitution de la paroi antérieure de l'urètre.
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    none: Fig. 37. Id. Coupe schématique de la suture terminée, montrant les deux plans.
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  none: 0032 - Page 26 - Tumeurs. Tumeurs bénignes. Tumeurs malignes. Épithélioma.
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    none: 0032 - Page 26 - Tumeurs. Tumeurs bénignes. Tumeurs malignes. Épithélioma.
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    none: Fig. 38 à 40. Amputation de la verge. Schéma de la surface de section. Suture des corps caverneux. Suture de la peau et aspect du nouveau métal/ Fig. 41. Id. Coupe sagittale, montrant la partie réséquée et les différents plans de suture : corps caverneux, peau, nouveau méat.
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  none: 0033 - Page 27 - Electrocoagulation. Adénopathie inguinale. Scrotum Testicules. Cordon spermatique. Lésions traumatiques.
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    none: 0033 - Page 27 - Electrocoagulation. Adénopathie inguinale. Scrotum Testicules. Cordon spermatique. Lésions traumatiques.
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    none: 0034 - Page 28 - Lésions inflammatoires. Lésions inflammatoires aiguës. Furoncle. Anthrax. Phlegmon circonscrit. Abcès urineux. A. Abcès urineux circonscrit. B. Infiltration d'urine. Lésions inflammatoires chroniques.
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    none: 0035 - Page 29 - Malformations congénitales et acquises. Malformations congénitales. Ectopie testiculaire. A. Il y a hernie congénitale. B. Il n'y a pas de hernie.
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    none: Fig. 42. Ectopie testiculaire. Découverte du testicule et allongement du cordon spermatique/ Fig. 43. Id. Suture de la tunique fibreuse du cordon aux plans fibreux du voisinage de l'épine pubienne.
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    none: Fig. 44. Id. Distension du scrotum, et création de la loge où va être fixé le testicule/ Fig. 45. Id. Incision du canal inguinal et découverte du testicule.
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    none: Fig. 46. Id. Reconstitution de l'anneau inguinal interne par la suture du tendon conjoint au pilier externe et profond/ Fig. 47. Id. Suture de la tunique fibreuse du cordon aux plans fibreux profond et superficiel.
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  none: 0039 - Page 33 - Pseudo-hermaphrodisme. Cryptorchidie et hypospadias périnéal. Cancer du testicule.
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    none: 0039 - Page 33 - Pseudo-hermaphrodisme. Cryptorchidie et hypospadias périnéal. Cancer du testicule.
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    none: Fig. 48. Id. Reconstitution de la paroi antérieure du canal inguinal et de l'anneau inguinal externe.
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    none: Fig. 49. Pseudo-hermaphrodisme. Cryptorchidie. Cancer du testicule droit ectopie.
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    none: Fig. 50. Id. Aspect du rudiment du pénis et du méat périnéal.
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    none: Fig. 51. Id. L'ablation du testicule cancéreux vient d'âtre faite. Opération de l'ectopie testiculaire gauche.
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  none: 0045 - Page 39 - Varicocèle.
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    none: 0045 - Page 39 - Varicocèle.
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    none: Fig. 52. Varicocèle. Isolement et ligature des principaux groupes de veines variqueuses.
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    none: Fig. 53. Id. Résection de la peau exubérante du scrotum/ Fig. 54. Id. La suture est presque terminée.
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  none: 0047 - Page 41 - Hydrocèle.
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    none: 0047 - Page 41 - Hydrocèle.
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    none: Fig. 55. Inversion de la tunique vaginale. Le testicule apparaît au dehors.
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    none: Fig. 56. Id. La séreuse est complètement extériorisée/ Fig. 57. Id. La séreuse inversée est fixée dans cette position par deux points de suture.
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    none: Fig. 58. Hématocèle de la tunique vaginale avec épaississement de la séreuse. Décortication de la tunique vaginale.
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    none: Fig. 59. Castration. Écrasement extemporané du cordon spermatique avec l'écraseur grand modèle de Doyen/ Fig. 60. Plaie résultant de l'ablation d'une énorme tumeur testiculaire, récidivée jusque dans le canal inguinal.
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    none: Fig. 61. Idem. Réunion de la plaie cutanée. Une 6e récidivé s'est produite au tiers inférieur de la cicatrice/ Fig. 62. ablation de la verge cancéreuse et des ganglions inguinaux des deux côtés, chez un malade qui avait demandé à conserver ses testicules.
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    none: 0053 - Page 47 - Rupture de l'urètre membraneux. Infiltration d'urine aseptique.
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    none: Fig. 63. Plaie perforante du périnée et de la vessie par un échalas. Rapports du corps étranger, du calcul qui entourait et du trajet fistuleux.
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    none: 0054 - Page 48 - Lésions inflammatoires. Lésions inflammatoires aiguës. Abcès de la glande de Cowper.
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    none: 0055 - Page 49 - Abcès urineux. Phlegmon urineux circonscrit ou diffus.
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    none: 0056 - Page 50 - Lésions inflammatoires chroniques. Abcès urineux a répétition. Abcès tuberculeux.
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  none: 0057 - Page 51 - Malformations congénitales et acquises. Malformations congénitales. Méat périnéal. Malformations acquises. Fistules urineuses.
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  none: 0058 - Page 52 - Prostate et vésicules séminales. Lésions traumatiques. Lésions inflammatoires. Lésions inflammatoires aiguës. Abcès de la prostate. 1° Voie rectale.
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    none: 0058 - Page 52 - Prostate et vésicules séminales. Lésions traumatiques. Lésions inflammatoires. Lésions inflammatoires aiguës. Abcès de la prostate. 1° Voie rectale.
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    none: Fig. 64. Abcès de la prostate faisant saillie dans le rectum.
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  none: 0059 - Page 53 - 2° Voie périnéale. Suppuration des vésicules séminales.
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    none: 0059 - Page 53 - 2° Voie périnéale. Suppuration des vésicules séminales.
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  none: 0061 - Page 55 - 1° Voie périnéale.
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    none: Fig. 65. Hypertrophie du lobe médian de la prostate constituant une luette prostatique. Dans le bas-fond vésical, un calcul, qui baigne dans l'urine. On voir l'orifice de l'uretère.
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  none: 0062 - Page 56 - 2° Voie coccy-sacrée.
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  none: 0063 - Page 57 - 3° Voie sus-pubienne. Extirpation des vésicules séminales. Tumeurs. Tumeurs. Tumeurs malignes.
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  none: 0064 - Page 58 - urètre et vessie. Désinfection de l'urètre et de la vessie. 1° Lavage de l'urètre antérieur.
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    none: 0064 - Page 58 - urètre et vessie. Désinfection de l'urètre et de la vessie. 1° Lavage de l'urètre antérieur.
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    none: Fig. 66. Poire de caoutchouc de 150 centimètres cubes, avec canule conique en caoutchouc rouge.
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    none: Fig. 67. En haut en bas : bougies filiformes; bougies à boule; bougies coniques; sondes molle de Nélaton en caoutchouc rouge; sondes de gomme à extrémité olivaire; sonde à béquille; sonde de Petzer; mandrin à grande courbure et mandrin à béquille pour sondes de Peter.
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    none: Fig. 68. De haut en bas : cystoscope de Nitze, pour cathétériser les uretères; cystoscope simple de Nitze; cystoscope à vision directe de Luys et porte-lampe; dilatateurs de l'urètre à conducteur, modèle conique de Doyen; uréthrotomes électrolytiques de Doyen à 4 contacts et à conducteurs.
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  none: 0068 - Page 62 - 2° Cathétérisme avec une sonde de gomme extrémité olivaire, ou bien avec une sonde à béquille. 3° Cathétérisme avec la sonde métallique. Règles du cathétérisme avec la sonde de métal.
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    none: 0068 - Page 62 - 2° Cathétérisme avec une sonde de gomme extrémité olivaire, ou bien avec une sonde à béquille. 3° Cathétérisme avec la sonde métallique. Règles du cathétérisme avec la sonde de métal.
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    none: Fig. 69. Exploration de l'urètre avec une bougie conique à extrémité olivaire.
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    none: Fig. 70. Cathétérisme de la vessie avec une sonde à béquille/ Fig. 71. Id. L'extrémité de la sonde à béquille franchir la prostate.
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    none: Fig. 72. Cathétérisme de la vessie avec une sonde métallique à grande courbure.
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  none: 0071 - Page 65 - Urètroscopie.
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    none: 0071 - Page 65 - Urètroscopie.
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    none: Fig. 73. Exploration d'un rétrécissement de l'urètre avec une bougie à boule.
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  none: 0072 - Page 66 - Exploration de la vessie. Exploration avec le cathéter coudé. Cystoscopie. 1° Emploi du cystoscope à prisme.
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    none: 0072 - Page 66 - Exploration de la vessie. Exploration avec le cathéter coudé. Cystoscopie. 1° Emploi du cystoscope à prisme.
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    none: 0073 - Page 67 - 2° Emploi du cystoscope à vision directe. Lésions traumatiques et lésions inflammations de l'urètre. Malformations congénitales et acquises. Malformations congénitales.
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  none: 0074 - Page 68 - Abouchement anormal du rectum dans l'urètre. Malformations acquises.
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    none: 0074 - Page 68 - Abouchement anormal du rectum dans l'urètre. Malformations acquises.
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    none: Fig. 74. Imperfection de l'anus. Ouverture du rectum dans l'urètre membraneux/ Fig. 75. Id. Même cas, avec complication d'une double fistule périnéale/ Fig. 76. Imperfection de l'anus. Ouverture du rectum au niveau des bourses et dans l'urètre pénien/ Fig. 77. Id. Introduction d'un cathéter dans la fistule scrotale pour reconstituer l'anus normal.
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  none: 0075 - Page 69 - Rétrécissements de l'urètre. Dilatation progressive. 1° Avec les bougies olivaires.
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    none: 0075 - Page 69 - Rétrécissements de l'urètre. Dilatation progressive. 1° Avec les bougies olivaires.
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    none: Fig. 78. Dilatation de l'urètre rétréci avec une sonde conique et à conducteur de Doyen.
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  none: 0076 - Page 70 - 2° Avec les béniqués de métal à conducteur. Electrolyse de l'urètre.
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    none: 0076 - Page 70 - 2° Avec les béniqués de métal à conducteur. Electrolyse de l'urètre.
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  none: 0077 - Page 71 - Uréthrotomie interne de Maisonneuve. Résection partielle de l'urètre.
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    none: 0077 - Page 71 - Uréthrotomie interne de Maisonneuve. Résection partielle de l'urètre.
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    none: Fig. 79. électrolyse d'un rétrécissement de l'urètre avec l'électrolyseur urétral à quatre branches et à conducteur, de Doyen.
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    none: 0078 - Page 72
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    none: Fig. 80. Résection d'un rétrécissement fibreux de l'urètre. Section transversale de l'urètre sur l'extrémité du cathéter.
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    none: Fig. 81. Id. Cathétérisme du bout inférieur de l'urètre/ Fig. 82. Id. L'opération est terminée; on enlève la sonde.
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    none: Fig. 83 et 83 bis : Schéma et résection d'un rétrécissement en Y/ Fig. 84 à 86. Idem. Réunion de l'urètre.
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  none: 0081 - Page 75
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height: 3407
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    none: 0081 - Page 75
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    none: Fig. 87 et 88. id. Coupes sagittales correspondant aux fig. 83 et 84/ Fig. 89 et 90. Id. Coupes sagittales correspondant aux fig. 85 et 86.
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label:
  none: 0082 - Page 76 - Opérations sur la vessie et sur l'urètre pelvien. Lésions traumatiques. Plaies par instrument piquant ou tranchant. Plaies par armes à feu.
width: 1901
height: 3416
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    none: 0082 - Page 76 - Opérations sur la vessie et sur l'urètre pelvien. Lésions traumatiques. Plaies par instrument piquant ou tranchant. Plaies par armes à feu.
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  none: 0083 - Page 77 - Lésions inflammatoires. Lésions inflammatoires aiguës. Abcès péri vésicaux. Cystite purulente. A. Cystite du col. B. Cystite totale.
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height: 3704
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    none: 0083 - Page 77 - Lésions inflammatoires. Lésions inflammatoires aiguës. Abcès péri vésicaux. Cystite purulente. A. Cystite du col. B. Cystite totale.
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label:
  none: 0084 - Page 78 - Lésions inflammatoires chroniques. Ulcérations localisées. Cystite tuberculeuse. Corps étrangers de la vessie. Calculs vésicaux.
width: 1872
height: 3123
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    none: 0084 - Page 78 - Lésions inflammatoires chroniques. Ulcérations localisées. Cystite tuberculeuse. Corps étrangers de la vessie. Calculs vésicaux.
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  none: 0085 - Page 79 - Calculs enchatonnés. Malformations congénitales et acquises. Malformations congénitales. Extrophie vésicale.
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height: 3353
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    none: 0085 - Page 79 - Calculs enchatonnés. Malformations congénitales et acquises. Malformations congénitales. Extrophie vésicale.
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    none: Fig. 91. Calcul enchatonné dans une loge latérale de la vessie. Ce calcul a été découvert par le cystoscope, grâce à une pointe très aiguë qui faisait saillie hors de sa loge.
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  none: 0086 - Page 80 - 1° Reconstitution de la paroi antérieure de la vessie.
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height: 3408
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    none: 0086 - Page 80 - 1° Reconstitution de la paroi antérieure de la vessie.
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    none: Fig. 92. Extrophie vésicale. On distingue en saillie les orifices des deux uretères. Les corps caverneux sont très développés.
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  none: 0087 - Page 81
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height: 3144
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    none: 0087 - Page 81
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    none: Fig. 93. La périphérie de la hernie vésicale a été détachée de la peau. Suture longitudinale de la muqueuse/ Fig. 94. Id. La vessie est refermée. Désinsertion des attaches inférieures des deux muscles droits, qui seront réunis l'un avec l'autre sur la ligne médiane et, en bas, au pubis.
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  none: 0088 - Page 82 - 2° Reconstitution de l'urètre.
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height: 3114
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    none: 0088 - Page 82 - 2° Reconstitution de l'urètre.
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    none: Fig. 95. Extrophie vésicale. Autre cas. Les corps caverneux sont rudimentaires.
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    none: Fig. 96. Id. Taille du lambeau cutané sous l'ombilical, qui reconstituera la paroi vésicale antérieure. Tracé des incisions latérales/ Fig. 97. Id. La paroi antérieure de la vessie est reconstituée. Mobilisation des deux lambeaux cutanés latéraux et perforation de la peau, au point où sera le méat urinaire.
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    none: Fig. 98. La suture cutanée en T renversé est terminée. Suture du rudiment de pénis à l'orifice cutané qui a été crée pour le recevoir.
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    none: 0091 - Page 85 - Malformations acquises. Fistules vésicales. A. Fistules périnéales. B. Fistules sus-pubiennes. Tumeurs. Tumeurs bénignes. Papillomes. Fibromes. Tumeurs malignes. Cancer.
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  none: 0092 - Page 86 - Technique générale des opérations sur la vessie. Opérations par les voies naturelles. Intervention par la cystoscopie directe. Extirpation des corps étranger. Lithotritie.
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    none: 0092 - Page 86 - Technique générale des opérations sur la vessie. Opérations par les voies naturelles. Intervention par la cystoscopie directe. Extirpation des corps étranger. Lithotritie.
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  none: 0093 - Page 87 - Cas justiciables de la lithotritie.
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    none: 0093 - Page 87 - Cas justiciables de la lithotritie.
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  none: 0094 - Page 88 - Désinfection préliminaire de la vessie. Cystoscopie à prismes.
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    none: 0094 - Page 88 - Désinfection préliminaire de la vessie. Cystoscopie à prismes.
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  none: 0095 - Page 89 - Instruments pour la lithotritie.
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    none: 0095 - Page 89 - Instruments pour la lithotritie.
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    none: Fig. 99. Seringue de 200 centimètres cubes; explorateurs vésicaux; lithotriteurs de Collin à écrou brisé et à mors fenêtrés nos 0, 1, 2 et 2 1/2: lithotriteurs de Collin à mors en cuiller nos 0, 1, 2 et 2 1/2; sondes évacuatrices pour les graviers de différents calibres et de différentes courbures; aspirateur de Collin.
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    none: Fig. 100. introduction du lithotriteurs. Dès que l'on a franchi l'urètre pénien, l'index droit pousse le bec de l'instrument vers la paroi supérieure de l'urètre, afin de l'aider à franchir l'aponévrose périnéale moyenne/ Fig. 101. Introduction de la sonde évacuatrice à grande courbure. L'index exécute le même mouvement que pour l'introduction du lithotriteur.
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    none: Fig. 102. Le broiement est presque terminé. Évacuation des graviers avec la seringue, qui projette dans la vessie un violent jet d'eau tiède; on retire aussitôt la seringue, et les graviers sont projetés au dehors avec le liquide/ Fig. 103. Dernier temps de l'évacuation des graviers contenus dans la vessie. Aspiration des graviers résiduels avec l'aspirateur à poire élastique de Collin.
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    none: Fig. 104. Aspect des graviers évacués après la lithotritie. En haut, deux gros calculs uriques, en bas, deux gros calculs phosphatiques.
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  none: 0099 - Page 93 - Accidents de la lithotritie. Rupture de la vessie.
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    none: 0099 - Page 93 - Accidents de la lithotritie. Rupture de la vessie.
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  none: 0100 - Page 94 - Blessure de la muqueuse. Néphrite infectieuse.
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    none: 0100 - Page 94 - Blessure de la muqueuse. Néphrite infectieuse.
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    none: Fig. 105. Taille périnéale. 1e temps. Incision de la peau et découverte du bulbe de l'urètre.
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  none: 0101 - Page 95 - Taille périnéale. Instrumentation.
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    none: 0101 - Page 95 - Taille périnéale. Instrumentation.
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    none: Fig. 106. Id. introduction du lithotome à lame cachée jusque dans la vessie.
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  none: 0102 - Page 96
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    none: Fig. 107. Id. Introduction de la tenette et préhension du calcul.
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  none: 0103 - Page 97
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    none: 0103 - Page 97
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    none: Fig. 108. Id. Tamponnement de la plaie périnéale et drainage de la vessie.
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    none: ark:/13685/23949x05/0103
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  none: 0104 - Page 98
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    none: Fig. 109. Calculs de l'urètre postérieur extraits par la voie périnéale.
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  none: 0105 - Page 99 - Calculs de l'urètre postérieur. Instruments nécessaires pour la taille périnéale et pour la taille hypogastrique.
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    none: 0105 - Page 99 - Calculs de l'urètre postérieur. Instruments nécessaires pour la taille périnéale et pour la taille hypogastrique.
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    none: Fig. 110. De bas en haut et de droite à gauche : bistouris, ciseaux, pinces hémostatiques de Doyen, pinces à anneaux ovalaires, pinces tire-balles, pinces à anneaux excentrés de Doyen, grandes pinces courbes, tenettes annulaires de Doyen; Pinces à griffes, pinces porte-aiguille droites et à plateau excentré de Doyen, aiguilles courbes, lithotome à lame cachée, drains de verre. Aiguilles courbes à manche de Doyen. Curette, cathéters cannelés, pinces érignes de Doyen, tenettes droites et courbes de Collin.
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  none: 0106 - Page 100 - Taille hypogastrique. Instruments pour la taille hypogastrique, pour l'électrocoagulation des tumeurs vésicales et pour l'irrigation continue de la vessie.
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    none: 0106 - Page 100 - Taille hypogastrique. Instruments pour la taille hypogastrique, pour l'électrocoagulation des tumeurs vésicales et pour l'irrigation continue de la vessie.
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    none: Fig. 111. Taille hypogastrique : spéculums courts de Doyen et valves métalliques de Doyen. Electrocoagulation thermique : spéculums de bois et valves de bois, manche et porte électrodes avec électrode hémi isolée, thermomètre centigrade.
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  none: 0107 - Page 101
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    none: Fig. 112. Taille hypogastrique. Temps préliminaire. Introduction du cathéter cannelé.
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    none: 0108 - Page 102
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    none: Fig. 113. Coupe sagittale montrant les rapports de la vessie vide et de la vessie distendue. Le trait noir indique l'accès de la vessie par la taille sus-pubienne/ Fig. 114. Id. Position du cathéter cannelé, dont l'extrémité mousse fait saillir la paroi vésicale dans la plaie sus-pubienne.
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    none: 0109 - Page 103
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  label:
    none: Description
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    none: Fig. 115. Id. Découverte de la vessie, qui est poussée dans la plaie par l'extrémité du cathéter/ Fig. 116. Id. Incision de la paroi vésicale, qui est maintenue avec une pince à griffes. Agrandissement de l'orifice par division.
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label:
  none: 0110 - Page 104 - Corps étrangers accidentels de la vessie. Calculs vésicaux.
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    none: 0110 - Page 104 - Corps étrangers accidentels de la vessie. Calculs vésicaux.
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    none: Fig. 117. Id. Extraction d'un calcul urique avec une tenette courbe de Collin.
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  none: 0111 - Page 105
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    none: Description
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    none: Fig. 118. Corps étranger de la vessie et calculs vésicaux.
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    none: ark:/13685/23949x05/0111
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  none: 0112 - Page 106
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    none: Fig. 119. En haut : 2 calculs uriques ayant résisté à la lithotritie, chez la femme. Au milieu : 1 calcul urique, 1 calcul en bouquet de noisettes, chez la femme, et 1 calcul de carbonate de choux chez l'homme. En bas : 7 calculs uriques à facettes, chez l'homme.
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  none: 0113 - Page 107
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    none: Fig. 120. Coupe de plusieurs calculs vésicaux.
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    none: ark:/13685/23949x05/0113
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label:
  none: 0114 - Page 108 - Calculs vésicaux enchatonnés. Polypes de la vessie.
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    none: 0114 - Page 108 - Calculs vésicaux enchatonnés. Polypes de la vessie.
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  label:
    none: Description
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    none: Fig. 121. Id. Extirpation d'un calcul vésical par la voie sus-pubienne, avec la tenette annulaire de Doyen.
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label:
  none: 0115 - Page 109 - Cancer de la vessie. Electrocoagulation des tumeurs de la vessie.
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    none: Title
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    none: 0115 - Page 109 - Cancer de la vessie. Electrocoagulation des tumeurs de la vessie.
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    none: Fig. 122. Taille sus-pubienne, dans la position de Trendelenbourg, chez un homme de trente ans atteint de polypes vésicaux. La peau vient d'être incisée, saillie du bac du cathéter.
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  none: 0116 - Page 110
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    none: 0116 - Page 110
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    none: Fig. 123. Id. la ligne blanche vient d'être incisée. On aperçoit la paroi vésicale, qui est poussée en avant par le bec du cathéter.
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    none: 0117 - Page 111
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    none: Fig. 124. Polype de la vessie en forme de chou-fleur/ Fig. 125. Id. la muqueuse vésicale a été et suturée à la peau. Le spéculum de Doyen est en place. Extirpation du polype et de sa surface d'implantation.
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label:
  none: 0118 - Page 112 - Extirpation de la prostate.
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  label:
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    none: 0118 - Page 112 - Extirpation de la prostate.
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  label:
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    none: Fig. 126. Id. La perte de substance de la muqueuse vésicale a été refermée par un sujet de catgut. Suture de la vessie en cordon de bourse/ Fig. 127. Taille sus-pubienne , dans la position de Trendelenbourg, chez une femme pour l'extirpation d'un polype vésical pédiculé.
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    none: 0119 - Page 113
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    none: Fig. 128. Id. Suture de la peau et fistulisation temporaire de la vessie/ Fig. 129. Id. Schéma de la fistulisation sus-pubienne de la vessie, d'après une coupe de tronçonnage.
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  none: 0120 - Page 114 - Drainage périnéal de la vessie.
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  label:
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    none: 0120 - Page 114 - Drainage périnéal de la vessie.
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    none: Fig. 130. Application du spéculum de bois et électrocoagulation d'un cancer papillaire du bas-fond vésical.
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  none: 0121 - Page 115
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    none: 0121 - Page 115
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    none: Fig. 131. Hypertrophie considérable du lobe médian de la prostate (luette vésicale), d'après une coupe de tronçonnage/ Fig. 132. Extirpation de la prostate par la voie sus-pubienne, après incision circulaire de la muqueuse vésicale en arrière du col. Drainage de la loge prostatique par la voie transpérinéal.
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    none: 0122 - Page 116
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    none: Fig. 133. Id. Perforation du périnée pour le drainage transpérinéal de la loge prostatique/ Fig. 134. Id. Le drain est attiré de haut en bas avec l'aide d'un gros fil de soie.
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  none: 0123 - Page 117 - Résection partielle de la vessie. Urétérotomie terminale. A. Voie iliaque et sous péritonéale.
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    none: 0123 - Page 117 - Résection partielle de la vessie. Urétérotomie terminale. A. Voie iliaque et sous péritonéale.
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    none: Fig. 135. Id. Fermeture immédiate de la vessie par une double suture en cordon de bourse.
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  none: 0124 - Page 118 - B. Voie trans-sacrée. La pelvi-péritonite chez l'homme.
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    none: 0124 - Page 118 - B. Voie trans-sacrée. La pelvi-péritonite chez l'homme.
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    none: Fig. 136. Fistule inguinale aboutissant à une perforation de l'S iliaque et, plus bas, à un foyer de tuberculose prostatique et à une fistule inter-uréthro-rectale.
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    none: 0128 - Page 122
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    none: Fig. 137. Id. Incision de la paroi antérieur du rectum pour la découverte du trajet fistuleux. Extirpation et des vésicules séminales/ Fig. 138. Suture transversale de la plaie vésicale consécutive à l'ablation de la prostate et des vésicules séminales. Suture longitudinale du rectum.
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    none: 0129 - Page 123
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    none: Fig. 139. Id. L'opération est terminée. Réunion du péritoine et tamponnement iliaque. Suture de l'S iliaque en cordon de bourse. Suture de l'urètre, du rectum et du périnée avec tamponnement de l'espace vésico-rectal.
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    none: Fig. 146. Cancroïde de la vulve empiétant à droite sur le pli génito-crural/ Fig. 147. Id. Schéma de l'incision cutanée pour l'extirpation de cette tumeur/ Fig. 148. Aspect des sutures.
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  none: 0157 - Page 151 - Malformations congénitales et acquises. Malformation congénitales. Atrésie du méat. Malformations acquises. Relâchement du méat urinaire.
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    none: 0157 - Page 151 - Malformations congénitales et acquises. Malformation congénitales. Atrésie du méat. Malformations acquises. Relâchement du méat urinaire.
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    none: Fig. 149. Incision transversale pour le rétrécissement du méat urinaire/ Fig. 150. Id. Suture longitudinale de l'incision. Aspect de la ligne de réunion.
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  none: 0158 - Page 152 - 1re méthode. Rétrécissement de la colonne antérieure du vagin. 2e méthode. Résection du méat et de la colonne antérieure du vagin.
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    none: 0158 - Page 152 - 1re méthode. Rétrécissement de la colonne antérieure du vagin. 2e méthode. Résection du méat et de la colonne antérieure du vagin.
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    none: Fig. 151. Résection partielle du méat urinaire. Tracé des incisions/ Fig. 152. Id. Suture longitudinale de la plaie. Aspect de la ligne de réunion.
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  none: 0159 - Page 153 - Tumeurs. Tumeurs bénignes. Polypes de l'urètre. Tumeurs malignes. Épithélioma. Electrocoagulation thermique.
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    none: 0159 - Page 153 - Tumeurs. Tumeurs bénignes. Polypes de l'urètre. Tumeurs malignes. Épithélioma. Electrocoagulation thermique.
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  none: 0160 - Page 154 - Opérations sur le périnée et sur le vagin. Lésions traumatiques. Plaies accidentelles. Instruments pour les opérations sur le périnée, sur l'orifice et sur les parois du vagin.
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    none: 0160 - Page 154 - Opérations sur le périnée et sur le vagin. Lésions traumatiques. Plaies accidentelles. Instruments pour les opérations sur le périnée, sur l'orifice et sur les parois du vagin.
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    none: Fig. 155. De bas en haut et de droite à gauche : 2 bistouris, 2 paires de forts ciseaux, 4 pinces à mors courts de Doyen, 2 porte-aiguilles à plateau excentré de Doyen, 4 pinces à anneaux, 4 longues pinces à mors courbes. 2 pinces à disséquer et à griffes, 4 pinces hémostatiques de Championnière, 6 paires à anneaux et à griffes obliques de Doyen, 8 aiguilles à chas fendu, 4 petites pinces porte-aiguilles de Doyen, 4 drains de verre. 2 longues pinces à anneaux excentrées de Doyen, 2 curettes, 2 aiguilles à manche de Doyen, 4 pinces tire-balles de Collin, 4 écarteurs de Doyen et 1 écarteur oblique de Collin.
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  none: 0161 - Page 155 - Déchirure du périnée.
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    none: 0161 - Page 155 - Déchirure du périnée.
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    none: Fig. 156. Déchirure du périnée. Coupe sagittale montrant la moitié gauche de la surface saignante/ Fig. 157. Idem. Coupe sagittale montrant les suture vaginales et les sutures cutanées.
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  none: 0162 - Page 156 - Lésions inflammatoires. Vaginite. Malformations congénitales et acquises. Malformations congénitales. Vaginisme.
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    none: 0162 - Page 156 - Lésions inflammatoires. Vaginite. Malformations congénitales et acquises. Malformations congénitales. Vaginisme.
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    none: Fig. 158. Vaginisme. Incision en T. pour l'élargissement de la fourchette/ Fig. 159. Id. Décollement de la muqueuse vaginale et section du sphincter vulvaire/ Fig. 160. Id. Réunion transversale de la plaie. Aspect des sutures.
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  none: 0165 - Page 159 - Sténose congénitale du vagin. Absence du vagin. Création d'un vagin artificiel. 1° Greffe périnéale d'une anse de l'intestin grêle.
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    none: 0165 - Page 159 - Sténose congénitale du vagin. Absence du vagin. Création d'un vagin artificiel. 1° Greffe périnéale d'une anse de l'intestin grêle.
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  none: 0166 - Page 160 - 2e Cloisonnement du rectum.
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  none: 0167 - Page 161 - Malformations acquises. Déchirure du périnée. Périnéorraphie. 1er cas. La déchirure date de 2 à 3 semaines. 2e cas. La plaie est cicatrisée.
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    none: 0167 - Page 161 - Malformations acquises. Déchirure du périnée. Périnéorraphie. 1er cas. La déchirure date de 2 à 3 semaines. 2e cas. La plaie est cicatrisée.
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    none: Fig. 161. Déchirure ancienne du périnée. Tracé des incisions par l'extirpation du tissu cicatriciel/ Fig. 162. Id. La suture du vagin est presque terminée/ Fig. 163. Id. Aspect des sutures vaginales (fils réunis en faisceau) et des sutures cutanées.
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  none: 0169 - Page 163 - Distension et prolapsus de la muqueuse vaginale.
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  none: 0170 - Page 164 - Cystocèle. Colporaphie antérieure.
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    none: Fig. 164. Colporaphie antérieure. Tracé et dissection du lambeau muqueux/ Fig. 165. Id. Schéma du plissement de la muqueuse vésicale et de la suture vaginale/ Fig. 166.Id. Suture de la muqueuse vaginale en surjet avec un fil de catgut.
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    none: Fig. 167. colporaphie antérieure. Résection du lambeau muqueux.
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    none: Fig. 168. Id. Réunion de la muqueuse vaginale par un surjet de catgut.
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  none: 0173 - Page 167 - Relâchement de la fourchette et rectocèle colpo-périnéoraphie.
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    none: 0173 - Page 167 - Relâchement de la fourchette et rectocèle colpo-périnéoraphie.
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    none: Fig. 169. Colpo-périnéoraphie complémentaire d'une colporaphie antérieure, où la suture a été à points séparés avec du crin de Florence. Extirpation de la muqueuse exubérante. Les doigts de la main gauche reconnaissent l'épaisseur de la paroi recto vaginale, qu'on pourrait accidentellement perforer.
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    none: Fig. 170. Id. Aspect des lambeaux vaginaux et de la perte de substance/ Fig. 171. Id. Réunion de la muqueuse vaginale par un surjet de catgut/ Fig. 172. Id. L'opération est terminée. La suture est faite au crin de Florence. Les fils vaginaux antérieurs et postérieurs et les fils périnéaux ont été réunis en trois faisceaux distincts.
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    none: Fig. 173. Colpo-périnéoraphie. Section de la fourchette avec les ciseaux, par le procédé de Doyen.
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    none: Fig. 174. Id. Dissection du lambeau vaginal/ Fig. 175. Id. Section curvilingue de ce lambeau du côté droit.
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    none: Fig. 176. Id. Même section, du côté gauche.
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    none: Fig. 177. Id. Pose du premier point vaginal.
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  none: 0179 - Page 173 - Tumeurs. Tumeurs bénignes. Kystes. Papillomes. Tumeurs malignes. Épithélioma. Opérations sur la cloison recto vaginale Malformations congénitales et acquises. Malformations acquises. Déchirure du périnée et de la cloison recto vaginale
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    none: 0179 - Page 173 - Tumeurs. Tumeurs bénignes. Kystes. Papillomes. Tumeurs malignes. Épithélioma. Opérations sur la cloison recto vaginale Malformations congénitales et acquises. Malformations acquises. Déchirure du périnée et de la cloison recto vaginale
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    none: Fig. 178. Déchirure complète de la cloison recto vaginale, avec bride cicatricielle. La bride sera excisée/ Fig. 179. Id. Avivement par le procédé de Doyen. Le dédoublement remonte plus haut que la commissure supérieure de la fistule.
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    none: Fig. 180. Coupe de la fistule montrant la hernie vaginale de la muqueuse rectale/ Fig. 181. Même coupe, montrant la suture séparée des muqueuse vaginale et rectale/ Fig. 182. Le rectum vient d'être suturé. Disposition des sutures pour la réunion du vagin et du périnée/ Fig. 183 et 184. L'opération est terminée. Aspect des sutures sur une coupe frontale et sur une coupe sagittale.
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    none: Fig. 185. Déchirure complète de la cloison recto vaginale. Avivement par le procédé de Doyen.
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    none: Fig. 186. id. La suture du rectum est terminée. Pose du premier fil vaginal.
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  none: 0184 - Page 178 - Fistules recto-vaginale.
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  none: 0186 - Page 180 - Instruments pour les opérations plastiques sur le vagin et pour la cure des fistules vaginales.
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    none: 0186 - Page 180 - Instruments pour les opérations plastiques sur le vagin et pour la cure des fistules vaginales.
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    none: Fig. 187. De bas en haut et de droite à gauche : 2 bistouris, 2 paires de ciseaux droits, 4 pinces à mors courts de Doyen, 2 pinces porte-aiguilles à plateau excentré, 4 pinces à mors ovales, 4 grandes pinces courbes. 2 pinces à disséquer et à griffes, 5 bistouris coudés à fistules, de Doyen, 2 pinces à griffes à mors courbes, 6 pinces de Championnière, des aiguilles assorties, 4 pinces porte-aiguilles de Doyen, 1 spéculum court de Doyen. 2 pinces à mors ovales et excentrés, 2 aiguilles à manches, 6 pinces tire-balles, 2 curettes, 4 valves de Doyen et 1 écarteur oblique.
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    none: Fig. 188. Fistule recto vaginale de la partie moyenne du vagin/ Fig. 189. Incision libératrice et tracé du lambeau muqueux/ Fig. 190. Id. Les lambeaux muqueux ont été disséqués. Pose de la suture rectale en cordon de bourse.
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    none: 0188 - Page 182 - 2e fistules recto-vaginale de la partie moyenne du vagin.
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    none: Fig. 191. Id. Fermeture punctiforme du rectum. Pose des fils pour la suture du vagin/ Fig. 192. Id. La suture est terminée. Aspect de la ligne de réunion.
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    none: Fig. 193. Fermeture en cordon de bourse d'une fistule intestinale juxta-cervicale. Tracé des lambeaux vaginaux/ Fig. 194. Fistule vagino-intestinale consécutive à l'hystérectomie vaginale. Tracé des lambeaux.
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  none: 0196 - Page 190 - indications de la laparotomie.
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  none: 0197 - Page 191 - Cancer de l'extrémité inférieure du rectum. Rectotomie transpérinéo-vaginale.
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    none: 0197 - Page 191 - Cancer de l'extrémité inférieure du rectum. Rectotomie transpérinéo-vaginale.
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  none: 0198 - Page 192 - Extirpation du segment supérieur du rectum chez la femme.
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    none: 0198 - Page 192 - Extirpation du segment supérieur du rectum chez la femme.
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  none: 0199 - Page 193
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    none: 0199 - Page 193
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    none: Fig. 195. Cancer de la partie supérieure du rectum/ Fig. 196. Id. La tumeur a été extirpée. Ligature de l'S iliaque.
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  none: 0200 - Page 194
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    none: 0200 - Page 194
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    none: Fig. 197. Id. La suture de l'S iliaque au rectum est terminée/ Fig. 198. Fermeture du péritoine en arrière de l'utérus. Tamponnement du cul-de-sac de Douglas par le vagin.
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  none: 0201 - Page 195 - opérations sur la cloison vaginale et sur la vessie.
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    none: 0201 - Page 195 - opérations sur la cloison vaginale et sur la vessie.
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    none: Fig. 199. Id. Réunion du rectum à l'S iliaque : 1e suture musculo-séreuse; 2e suture séro-séreuse.
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  none: 0202 - Page 196 - Exploration de la vessie. Opérations par la voie vaginale. Taille vaginale.
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    none: 0202 - Page 196 - Exploration de la vessie. Opérations par la voie vaginale. Taille vaginale.
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  label:
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    none: Fig. 200. Taille vaginale de la vessie. La paroi vésico-vaginale est poussée à la vulve avec une pince courbe.
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  none: 0203 - Page 197 - Drainage vaginal de la vessie intolérante.
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    none: 0203 - Page 197 - Drainage vaginal de la vessie intolérante.
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label:
  none: 0204 - Page 198 - Taille urétérale.
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    none: 0204 - Page 198 - Taille urétérale.
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  none: 0205 - Page 199
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    none: 0205 - Page 199
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    none: 0206 - Page 200
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    none: Fig. 201. 24 calculs polyédriques de l'uretère droit. Au milieu, calcul phosphatique développé autour de la suture urétérale; un stylet a été passé dans l'anse de soie.
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  none: 0207 - Page 201
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    none: 0207 - Page 201
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  none: 0208 - Page 202
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  label:
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    none: 0208 - Page 202
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  label:
    none: Description
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    none: Fig. 202. Extraction du gros calcul urétéral représenté sur la Fig. 203.
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  none: 0209 - Page 203
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  label:
    none: Title
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    none: 0209 - Page 203
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    none: Description
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    none: Fig. 203. Gros calcul de l'extrémité inférieure de l'uretère gauche. 3 calculs de l'uretère droit chez la même malade.
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label:
  none: 0210 - Page 204
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    none: 0210 - Page 204
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label:
  none: 0211 - Page 205 - Fistules urinaires vaginales.
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    none: 0211 - Page 205 - Fistules urinaires vaginales.
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label:
  none: 0212 - Page 206 - 1° Fistules uréthro-vaginales.
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    none: 0212 - Page 206 - 1° Fistules uréthro-vaginales.
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label:
  none: 0213 - Page 207 - 2° Fistules vésico-vaginales accidentelles, avec conservation de l'utérus. Fistules vésico-vaginales distantes du col.
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    none: 0213 - Page 207 - 2° Fistules vésico-vaginales accidentelles, avec conservation de l'utérus. Fistules vésico-vaginales distantes du col.
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    none: Fig. 204. Fistule vésico-vaginale. Avivement et incisions libératrices/ Fig. 205. Id. Dissection des lambeaux et pose du fil en cordon de bourse.
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  none: 0214 - Page 208
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height: 3131
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    none: 0214 - Page 208
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    none: Fig. 206. Id. La vessie est fermée par la suture en cordon de bourse/ Fig. 207. Id. Aspect est fermée par la suture en cordon de bourse.
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  none: 0215 - Page 209
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height: 3544
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  label:
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    none: 0215 - Page 209
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    none: Description
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    none: Fig. 208. Fistule vésico-vaginale juxta-utérine/ Fig. 209. Id. Coupe sagittale d'une fistule vésicale juxta-cervicale.
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  none: 0216 - Page 210
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  label:
    none: Title
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    none: 0216 - Page 210
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  label:
    none: Description
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    none: Fig. 210. Id. Avivement du col et décollement des lambeaux vaginaux/ Fig. 211. Id. Pose du premier fil en cordon de bourse/ Fig. 212. Id. Suture du col utérin et suture du vagin/ Fig. 213. Id. Aspect des sutures sur une coupe sagittale.
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  none: 0217 - Page 211 - 3e Fistules vésico-utérines.
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    none: 0217 - Page 211 - 3e Fistules vésico-utérines.
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    none: Fig. 214. Fistule vésico-utérine. Coupe sagittale.
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    none: Fig. 215. Fistule vésico-vaginale consécutive à la taille de la vessie. Avivement antéro-postérieur par le procédé de Doyen. On distingue les deux incisions complémentaires antérieures et postérieures, pour la confection des lambeaux muqueux latéraux/ Fig. 216. Id. Les lambeaux muqueux latéraux viennent d'être disséqués. On procède à la fermeture de la vessie par une double suture en cordon de bourse.
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    none: Fig. 217. Id. L'opération est terminée. Réunion de la plaie vaginale à points séparés.
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    none: Fig. 218. cure d'une fistule uretéro-vaginale consécutive à l'hystérectomie.
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