Gynecology - (1918) (14793409073)

Identifier: gynecologygrav (find matches)

Title: Gynecology :

Year: 1918 (1910s)

Authors: Graves, William Phillips, 1870-1933

Subjects: Gynecology Genital Diseases, Female Women Gynecology

Publisher: Philadelphia : Saunders

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

.P.Gr->s Fig. 266.—Amputation of Cervix and An-terior COLPOPLASTY (STUDDIFORD). The stitches in the cervical stump havebeen tied. The edges of the vaginal mucousmembrane are being coaptated by a subcutic-ular stitch. tion by uniting the two flaps of vaginal wall. In most cases the tissue is redun-dant and should be judiciously trimmed off. The edges may be united by asubcuticular running Cushing stitch or by interrupted sutures, preferably thelatter. OPERATIONS ON THE VAGINA 625 EMMETS PERINEOPLASTY. (AUTHORS TECHNIC.) First Step.—The posterior wall of the vagina is grasped with a pair of Cullenhooks at a point which when approximated to the anterior vaginal wall willtouch it at the junction of the anterior and middle thirds of the urethra. If acystocele has been performed by the method described on page 608 the point willcorrespond to the crown stitch on the anterior wall. A tenaculum is then placedjust inside the opening of the left Bartholins gland and drawn sharply outward,

Text Appearing After Image:

Fig. 267.—Operation for Laceration of the Perineum. (Emmets method.)Exposure of the lateral sulci and external perineum. Tenacula are placed at the orifices of theducts to Bartholins glands and drawn outward. A tenaculum or bullet forceps seizes a point on theposterior vaginal wall which when approximated to the anterior vaginal wall will touch it at thepoint of junction of the middle and outer thirds of the urethra. In denuding the lateral sulcus atenaculum is placed at the natural angle formed by exposing the sulcus. (See Fig. 268.) while the traction forceps attached to- the posterior wall is drawn in the oppositedirection. This exposes a triangular depressed area or sulcus with the apex insidethe vagina. The size of this area represents the amount of separation of theanterior fibers of the levator ani muscles (puborectalis) from the sides of therectum. In the normal perineum, or one in which there has been no separationof the puborectalis, the triangular sulcus is either absent

gynecological surgery gynecology by william phillips graves 1918 book illustrations medicine medical illustrations medical history gynecology diseases images from internet archive

1918

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