Treatise on gynaecology : medical and surgical . ition.—It is notonly to destroy an obstacle to the perform-ance of the conjugal relations that the affec-tion requires treatment, for these bridles formthe starting-]point of abnormal reflexes, likeforeign bodies, producing pain and metrorrhagia. The simplest method of dividing them consists in removing themvnth the finger without the aid of the speculum, but depressing thecervix and adjacent parts if necessary with forceps; then they may becut in successive strokes with the long scissors, taking great care notto wound the vaginal wall.^^ This s
Treatise on gynaecology : medical and surgical . ition.—It is notonly to destroy an obstacle to the perform-ance of the conjugal relations that the affec-tion requires treatment, for these bridles formthe starting-]point of abnormal reflexes, likeforeign bodies, producing pain and metrorrhagia. The simplest method of dividing them consists in removing themvnth the finger without the aid of the speculum, but depressing thecervix and adjacent parts if necessary with forceps; then they may becut in successive strokes with the long scissors, taking great care notto wound the vaginal wall.^^ This section may be accomx)lished inseveral sessions, each followed by dilatation; at first by tamponingwith iodoform gauze, then Avith cylinders of rubber or Bozemannsdilators, which are used in the preliminary treatment of vesico-vaginalfistula. Later it is well to introduce a Dumontpallier or Hodge pes-sary to keep the vaginal walls separated. If the cicatrix is very thickand of great extent, it is better to excise it, and cover the loss of sub-. FiG. 135.—Falciform Cicatri-cial Band from the VaginalWall to the Cervix CBarnes). FOREIGN BODIES. 429 stance by a healthy Hap of mucous membrane dissected from the im-mediate vicinity.^^ With vaginal cicatrices which contract the canal, there may alsoexist a rectal or vesical fistula; where this is the case, the destructionof the former may enlarge the fistula, and this fact may lead the sur-geon to decide in favor of indirect treatment by obliterating thevagina by colpocleisis. 2. During Pregnancy.—Contractions and stenoses of the vaginain the gravid female raise serious questions as to o^Deration—whetherto lorovoke abortion or premature labor, or sim^jly to destroy the ob-stacle, and allow the pregnancy to proceed, Oldham in a case ofthis sort ^° caused premature labor and saved his patient; Doherty^^could not bring himself to adopt this plan, and his patient ^^ declares in favor of such interference with the ob
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