A text-book of gynaecological surgery (1911) (14578930307)

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. 167.—Securing the ovarico-pelvic ligament. was devised by Freund for prolapse of the uterus. It hasbeen highly praised by some authorities, but we havenot performed it sufficiently often to arrive at any con-clusive judgment as to its merits when compared withventro-suspension and perineoplasty for this condition.Preparation of the patient.—See pp. 82-84. 272 GYNAECOLOGICAL SURGERY Instruments.—Those for vaginal hysterectomy (p. 227); but eight pressure-forceps will suffice, and in addition silkworm-gut, shot and coil, and a shot compressor will be required. Operation.—The steps of the procedure are as follows :—i. Incising the anterior vaginal wall.—The procident uterus and vagina are pulled down with a volsella fixed

Text Appearing After Image:

Fig. 168.—Intervesico-vaginal fixation : Denuding theanterior vaginal wall. to the cervix, and the anterior vaginal wall is put upon thestretch. An oval area is delineated by two curved incisionsbeginning just under the urethra and terminating at thejunction of the vagina and cervix. The mucous membraneof the vagina corresponding to this area is now excisedand the base of the bladder exposed (Fig. 168). ii. Separating the bladder and opening the utero-vesical pouch.—The bladder is separated from the vaginal FIXATION OF UTERUS 273

учебник гинекологической хирургии 1911 г. гинекологическая хирургия книжные иллюстрации учебник лекарство хирургия гинекология изображения из интернет-архива

1911

Columbia University Libraries

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public domain