A text-book of gynaecological surgery (1911) (14578585210)

Colporrhaphy

Identifier: textbookofgynaec00berk (find matches)

Title: A text-book of gynaecological surgery

Year: 1911 (1910s)

Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953

Subjects: Gynecology Genitalia, Female

Publisher: New York : Funk and Wagnalls Company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

Fig. 82.—Posterior colpor-rhaphy : Demarcation ofthe area to be denuded. Preparation of the patient.—See pp. 78-82. Instruments.—-As for anterior colporrhaphy (p. 139). Operation, i. Demarcation of the flap.—With a pairof forceps the lowermost portion of the bulging vaginalmucous membrane is seized and the rectocele is with-drawn to its full extent. The mucous membrane beingnow drawn taut, a diamond-shaped incision is made(Fig. 82), and a piece of mucous membrane is dissectedoff (Fig. 83). ii. Obliteration of the raw surface.—The raw surfaceis obliterated by running a continuous suture of silkfrom the right lateral angle of the incision to the left i44 GYNAECOLOGICAL SURGERY (Fig. 84), so that the resulting scar lies transversely tothe direction of the vagina. Dressing and after-treatment.—See Chapter xxxn. Thepatient may get up on the twenty-first day.

Text Appearing After Image:

g. 83.—Denudation of thedemarcated area. URETHRO-VAGINAL FISTULA Preparation of the patient.—See pp. 78-82. Instruments.—Clovers crutch, Auvards speculum, scis-sors, scalpel, dissecting forceps, bladder-sound, four pairsof pressure-forceps, four curved needles No. n, silk No. 1. Operation.—A bladder-sound having been introducedinto the urethra, the vaginal mucous membrane in theneighbourhood of the fistula for about half an inch is VESICOVAGINAL FISTULA i45 dissected off. As many interrupted sutures of silk as maybe necessary are passed deeply to the raw surface. When the sutures are tied the fistulous opening isentirely obliterated. Dressing and after-treatment.—See Chapter xxxii. Thepatient gets up on the fourteenth day.

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1911

Columbia University Libraries

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