Buffalo medical journal (1905) (14781535104)

Identifier: buffalomedicaljo6119unse (find matches)
Title: Buffalo medical journal
Year: 1906 (1900s)
Authors:
Subjects: Medicine
Publisher: Buffalo, N.Y. : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities



Text Appearing Before Image:
Fig. 2.—Showing relations of pelvic structures in pelvic hernia.
Text Appearing After Image:
Fig. 3.—Showing pelvic hernia reduced, hysterectomy partially completed, vagina split./ The free end of the broad ligament and the corresponding half of the split vagina is to be drawn up through the rectus fascia on each side. 84 CRILE : HERNIA OF THE PELVIC FLOOR. The patient had had a chronic cough which added greatly to thestress upon the operation. After four months recurrence was quite marked, though notcomplete. Second Operation.—At this operation a vaginal panhysterec-tomy was done and the round and broad ligaments were suturedto the vaginal wall, closing the top of the pelvis and strength-ening the floor as much as available material would pemiit. Recurrence of the hernia again took place after six months.At this time the floor of the pelvis and the rectovaginal septumhad entirely given away, and a symmetrical pouch-like sac, con-taining a very considerable portion of the large and small intes-tines, was suspended between the thighs. Her sufiferings wereas great as before