File:Operative gynecology - (1906) (14781158524).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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r mother died of cancer of the lip.For eight years shehad noticed a reddenedarea gradually extendingbetween _the labia ,ante-rim-lv, and for the lastsix months growing rap-idly. She had no pain init until a few days beforeshe came under observa-tion; there was a mucoiddischarge from the sur-face of the tumor. I found upon examina-tion a large, rose-red glansclitoridis, protruding an-teriorly between the labiamajora, 3 cm. (1^ inches)long by 3.3 cm. (1^inches) in breadth, ovoidin form, slightly indentedon its under surface. Onthe convex surface, to theright, there was a pit 1.2 Dig. 129.—Closure of the Wound made by Excision of the Cli- -. toris, by Mattrass Sutures of Buried Catgut and Subcutio- Cm. deep by 1.8 cm. long, and on the right dorsumof the corona an irregulartongue of unaffected tis-sue 1.2 cm. by 0.3 to 0.8 cm. broad. There was an area of infiltration of themucous surface of the left labium majus, 1 by 8 cm., where it lay in contactwith the diseased glans (see Fig. 128).
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ular Continuous Suture. The vaseular area in the deeper part of the wound is controlledby the mattrass sutures. CARCINOMA OF THE CLITORIS. 245 Both labia majora were deeply pigmented from scratching, and the labiaminora were withered, insignificant structures from old-standing pruritus. The disease was extirpated by an oval excision 12 by 8 cm. (5 by 3^inches), extending from the mons veneris to the urethra.

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