Clinical notes on uterine surgery : with special reference to the management of the sterile condition . d wear con-stantly some sort of a pessary. Accordingly I fittedone, and sent her home in a very comfortable was quite satisfied, and so was my patient; but whenshe got home, the physician who had had charge of hercase before she consulted Dr. Duane, ridiculed the ideaof her being cured by a surgical operation, if it werenecessary for her still to wear an instrument she was perfectly comfortable, she returned intwo or three months, and asked to be readmitted to
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . d wear con-stantly some sort of a pessary. Accordingly I fittedone, and sent her home in a very comfortable was quite satisfied, and so was my patient; but whenshe got home, the physician who had had charge of hercase before she consulted Dr. Duane, ridiculed the ideaof her being cured by a surgical operation, if it werenecessary for her still to wear an instrument she was perfectly comfortable, she returned intwo or three months, and asked to be readmitted to theHospital. She said she wished simply to prove to herphysician at home that she could be cured by an UTERINE DISPLACEMENTS. 301 operation, so as not to be compelled to wear a pluck challenged my inventive faculties, and thenit was that I devised another method of instance, instead of the broad scarification of theanterior wall of the vagina, as before, I simply removedthe mucous membrane in the form of a V (fig- 122,a #), the apex being near the neck of the bladder, and. Fig. 122. the two arms extending up on the sides of the cervixuteri. These two denuded surfaces were broughttogether by silver sutures passed transversely, thusmaking a longitudinal fold narrowing the vagina andcrowding the cervix backwards. This simple operationwas thus repeatedly performed, and always successfully,by Dr. Emmet and myself, at the Womans Hospital,from 1858 to 1862, when I left New York. In Paris I had occasion to perform it for Sir Joseph 302 UTERINE SURGERY. Olliffe on an old lady sixty-five years of age, who hadhad procidentia for twenty years. The parts united;the uterus was held in its place, and she returned homein a fortnight. Her general health was very feeble, in
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