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A Modification of the Evacuator
Vol. 114, July
THE JOURNAL OF UROLOGY
Printed in U.S.A.
Copyright © 1975 by The Williams & Wilkins Co.
A MODIFICATION OF THE EVACUATOR CHASON W. HA YES*
AND
DANIEL D. SCHLAPIK
From the Department of Surgery, North Shore Hospital, Miami, Florida
Most urologists are familiar with the bladder evacuator. Since its inception by Bigelow in 1883 there have been numerous modifications. The most widely known have been the Young, 1 McCarthy 2 and Ellik. 3 The Ellik evacuator is the most common in use today. Urologists doing endoscopic resection want operating time kept to a minimum. The Ellik evacuator is a closed suction system; it requires disconnecting followed by filling through irrigation tubing or from a separate basin. Some operators keep 2 evacuators for convenience but this is cumbersome and time consuming. The evacuator which has been used at our hospital for 15 years by its inventor (D. D. S.) is simple to make and easy to use (see figure). A 6-inch piece of hard rubber tubing is connected to a double hole bulb. If this bulb is not available simply drill a hole into the opposite end of an Ellik Accepted for publication November 8, 1974. . * Current address: 9425 N. E. 6th Ave., Miami Shores, Florida 33168.
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bulb. Twelve-gauge wire is then twisted over the metal connector and inner glass tubing, while the bulb is secured with a garden hose clamp. The connector is connected to the resectoscope in the normal fashion. The thumb is placed over the open end of the bulb to create suction for the ingress of irrigating fluid or irrigation of the bladder. The prostatic chips immediately fall into the bulb while irrigating the bladder and into the basin when the thumb is removed. The simplicity of its construction, its ease of manipulation and facility with which it is filled or emptied are the reasons for its exclusive use for endoscopic surgery at our hospital. REFERENCES
1. Young, H. H.: A Surgeon's Autobiography. New York:
Harcourt, Brace and Co., p. 161, 1940. 2. Barnes, R. W.: Endoscopic Prostatic Surgery. St. Louis: The C. V. Mosby Co., p. 147, 1943. 3. Ellik, M.: A modification of the evacuator. J. Urol., 38: 327, 1937.
THE JOURNAL OF UROLOGY
Printed in U.S.A.
Copyright © 1975 by The Williams & Wilkins Co.
A MODIFICATION OF THE EVACUATOR CHASON W. HA YES*
AND
DANIEL D. SCHLAPIK
From the Department of Surgery, North Shore Hospital, Miami, Florida
Most urologists are familiar with the bladder evacuator. Since its inception by Bigelow in 1883 there have been numerous modifications. The most widely known have been the Young, 1 McCarthy 2 and Ellik. 3 The Ellik evacuator is the most common in use today. Urologists doing endoscopic resection want operating time kept to a minimum. The Ellik evacuator is a closed suction system; it requires disconnecting followed by filling through irrigation tubing or from a separate basin. Some operators keep 2 evacuators for convenience but this is cumbersome and time consuming. The evacuator which has been used at our hospital for 15 years by its inventor (D. D. S.) is simple to make and easy to use (see figure). A 6-inch piece of hard rubber tubing is connected to a double hole bulb. If this bulb is not available simply drill a hole into the opposite end of an Ellik Accepted for publication November 8, 1974. . * Current address: 9425 N. E. 6th Ave., Miami Shores, Florida 33168.
110
bulb. Twelve-gauge wire is then twisted over the metal connector and inner glass tubing, while the bulb is secured with a garden hose clamp. The connector is connected to the resectoscope in the normal fashion. The thumb is placed over the open end of the bulb to create suction for the ingress of irrigating fluid or irrigation of the bladder. The prostatic chips immediately fall into the bulb while irrigating the bladder and into the basin when the thumb is removed. The simplicity of its construction, its ease of manipulation and facility with which it is filled or emptied are the reasons for its exclusive use for endoscopic surgery at our hospital. REFERENCES
1. Young, H. H.: A Surgeon's Autobiography. New York:
Harcourt, Brace and Co., p. 161, 1940. 2. Barnes, R. W.: Endoscopic Prostatic Surgery. St. Louis: The C. V. Mosby Co., p. 147, 1943. 3. Ellik, M.: A modification of the evacuator. J. Urol., 38: 327, 1937.