Atlas and epitome of operative gynecology / by Oskar Schaeffer.

  • Oskar Schaeffer
Date:
1904
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and epitome of operative gynecology / by Oskar Schaeffer. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    commissure, the posterior and anterior portions of the vaginal portion being respectively dealt with.—Ed.] The needle must include the entire depth of the wound and is brought out near its outer edge. Thus there results a circle of radiating interrupted sutures as shown in Plate 16, the points where the needles are introduced on the cervical canal being closer together than the points where the needles emerge on the surface of the cervix. After all the sutures have been placed, the tying is begun, the flap from the vaginal portion being at the same time turned inward with forceps. The lateral commissural incisions or Emmet's denudations are to be closed in the manner already described. The patient remains in bed for from ten to twelve days. ii and 12. Hysterocleisis and Kolpocleisis. These operations are employed as a last resort in uro- cervical and ureterovaginal fistulse when for any reason the plastic operation described in this or in the following groups is inapplicable or has proved unsuccessful. To avoid extirpation of the kidney, according to the position of the fistula, either the external os is denuded and the two lips sewed together so that they grow fast, or the vaginal portion is obliterated in the same way. In the latter case an artificial vesicovaginal fistula is first made by means of a kolpocystotomy, followed by suturing together the edges of the wound. Immediately beneath this opening a broad strip of the vagina is then denuded, and the two surfaces sewTed together. Until firm union has taken place the bladder is drained with a permanent catheter.