File:A text-book of gynaecological surgery (1911) (14785133493).jpg

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

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The warts should be removed with thescissors, after which the raw surfaces are closed withmattress-sutures. Dressing and after-treatment.âSee Chapter xxxn.The sutures are removed in seven days, and the patientgets up three days later. EXCISION OF PART OR WHOLE OF THE VULVA Indications.â-The vulva may be removed in whole orin part for cancer, tubercle, leucoplakic vulvitis, or hyper-trophy of the clitoris or labia due to elephantiasis or syphilis. Preparation of the patient.âSee pp. 78-82. InstrumentsâClovers crutch, bladder-sound, scalpel,twelve pairs of pressure-forceps, scissors, three curved io4 GYNAECOLOGICAL SURGERY needles No. 7, three curved needles No. 3, silk Nos. 2and 4, stout silkworm-gut. Operation for complete excision.âAn oval incisionis made with the scalpel through the skin and subcutaneoustissue down to the deep fascia and well clear of the disease.The incision commences above the clitoris on each side,includes both labia majora, and ends posteriorly to the
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Fig. 50.âExcision of vulva : Making the outer incision. fourchette (Fig. 50). A second incision is now made roundthe urinary meatus and the vaginal orifice (Fig. 51). Thestructures lying between these two incisions down to thedeep fascia are then dissected away in a single piece, allspouting vessels being clamped for the time being withpressure-forceps and ligatured with silk after the growthhas been removed (Fig. 52). At times there is very troublesome bleeding, especially EXCISION OF VULVA 105 from the dorsal artery of the clitoris and some of thelarge vestibular vessels, and it is difficult to pick up

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