. The diagnosis and treatment of diseases of women. in the vagina, simply a trian-gular area of denudation, with the apex lying high up on the posterior vaginal wall. This area of denudation may beclosed by sutures which pass from sideto side of the triangle. The first su-ture is passed near the apex and thenext one a third of an inch below andso on down, practically the same as insuturing a sulcus in the Emmet opera-tion (Fig. 506-A), until all the suturesare passed. The sutures are then tied,closing the vaginal portion of thewound. In place of the single row of inter-rupted sutures, it is pr
. The diagnosis and treatment of diseases of women. in the vagina, simply a trian-gular area of denudation, with the apex lying high up on the posterior vaginal wall. This area of denudation may beclosed by sutures which pass from sideto side of the triangle. The first su-ture is passed near the apex and thenext one a third of an inch below andso on down, practically the same as insuturing a sulcus in the Emmet opera-tion (Fig. 506-A), until all the suturesare passed. The sutures are then tied,closing the vaginal portion of thewound. In place of the single row of inter-rupted sutures, it is preferable to ap-proximate the deep tissues by buriedsutures and then close the superficialportion by another row, as shown inFigs. 513 and 514. Both the deep su-Fig. 512. Hegars Operation. Showing the ^ures and Superficial sutures may be outline of the area of Denudation, and also the interrupted Or contiuuous, as preferred. method of removing strips of mucosa with the - _ , , . . , scissors. {Vvyov-G,jnecoiocjy.) Hegar s Operation IS more simple. STEPS IN HEGARS OPERATION 497 than Emmets and can be completed more quickly. When the denudation isextended well out to the sides and some deep excision of tissue is made, asdescribed under the Emmet operation (Fig. 504), the Hegar operation gives agood result. Its principal effects are: a. It removes the excess of posterior vaginal wall which, in the form of colpocele
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