File:American gynaecological and obstetrical journal. (1895) (14754710446).jpg

Identifier: americangynaecol7189unse (find matches)
Title: American gynaecological and obstetrical journal.
Year: 1895 (1890s)
Authors:
Subjects: Obstetrics Gynecology
Publisher: New York : D. Appleton & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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Fig. 2.—Sketch of uterus, etc., showing spiral incisions made for obtaining flap in repair of urethra. Plastic Operations for the Cure of Fistula. 627 One month later I again chloroformed the patient and proceededto repair the bladder. I began by separating the tissues from theanterior and lateral surfaces of the uterus and succeeded in obtainingsufficient tissue to accomplish my purpose. I then vivified theedges and brought them together with silver-wire sutures, at the same
Text Appearing After Image:
Fig. 3.—Sketch plan of vagina, showing vesico-vaginal fistula, with sutures in posi-tion ; also spiral flap suspended from the cervix of uterus, afterward placed soas to form urethra. time taking care to leave a space undenuded at the anatomical site ofthe old urethra. This opening I intentionally left sufficiently largeto allow for contraction afterward. I now dissected a flap from thecervix, running spirally almost around it so as to give me a length ofnearly an inch and a half, and this flap, after denuding in the track ofthe old urethra, I stitched in place with silkworm gut. In denudingfor the attachment of the flap I dissected up two strips of tissue, eachabout a quarter of an inch wide and about three eighths of an inchapart, on each side of the center line. The sutures in the repair ofthe bladder I passed antero-posteriorly and thus brought the cervixclose to the original site of the neck of the bladder. When the opera-tion was completed I placed a piece of glass tubing thro

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