Buffalo medical journal . Fig. 4.—Sagital section showing: completed operaiion. The patient made a good recovery from the operation andwas discharged from the hospital in three and one-half weeks. Clinical Results.—For some time after the operation thepatient felt a sensation of dragging upon the wound and experi-enced some pain. This passed away after several months. She 86 crile: hernia of the pelvic floor. has been doing her usual work, and at the present time, morethan three years after the operation, there has been no recurrenceof the hernia. I have personally examined her at intervals si
Buffalo medical journal . Fig. 4.—Sagital section showing: completed operaiion. The patient made a good recovery from the operation andwas discharged from the hospital in three and one-half weeks. Clinical Results.—For some time after the operation thepatient felt a sensation of dragging upon the wound and experi-enced some pain. This passed away after several months. She 86 crile: hernia of the pelvic floor. has been doing her usual work, and at the present time, morethan three years after the operation, there has been no recurrenceof the hernia. I have personally examined her at intervals sincethe operation and have found that the line of apposition has this time she has had a chronic cough in winter, and hasbeen actively engaged in her ordinary domestic duties. Comments.—The difficulties in this operation are due mainlyto the great stress upon the pelvic floor in every form of increasedintraabdominal pressure, as coughing, sneezing, laughing, strain-. FiG. 5.—To show the method of anchoring: the pelvic floor to the rectus fascia. Theupper diagfram shows the ends of the pelvic ligaments and split vagina drawnthrough the rectus fascia on each side. The lower diagram shows themunited across the median line. ing, lifting, and the like. When the natural pelvic floor has onceproven itself too weak to take this strain it is manifestly difficultto add sufficient intrinsic strength by any material available inthe immediate territory. That this is a practical difficulty is indi-cated by the per cent, of relapses in Hegars large series, 22per cent, in Herffs, 22 per cent, in Schmidts, 20 per cent, inSchultzs, and the like. The indication for this operation exists only in the cases ofcomplete hernia (procidentia). Indeed it would be quite impos-sible in the minor degrees of prolapse to carry out this technicfor want of sufficient length of ligaments and of vagina to reach DARLINGTON ! THE HURRIED LIFE. 87 to the external fascia. That is
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
