Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ition in which it was thus held bythe tenaculum? The operation of shortening the elongated anteriorwall of the vagina, by attaching the cervix uteri to it atthe point c, was therefore most naturally a self-suggestedaffair. It was very simple, and as a mere operationmust always be a successful one ; whether it will, whensuccessful, always produce relief of suffering, time andfurther experience can alone determine. Two semilunar surfaces a half-inch wide, and runningnearly across the anterior
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ition in which it was thus held bythe tenaculum? The operation of shortening the elongated anteriorwall of the vagina, by attaching the cervix uteri to it atthe point c, was therefore most naturally a self-suggestedaffair. It was very simple, and as a mere operationmust always be a successful one ; whether it will, whensuccessful, always produce relief of suffering, time andfurther experience can alone determine. Two semilunar surfaces a half-inch wide, and runningnearly across the anterior wallof the vagina, the one in jux-taposition with the cervix, andthe other an inch and a halfor more anterior to it, werecarefully denuded of the va-ginal mucous membrane, asshown in fig. 98. They werethen closely united by sevensilver sutures, as in the opera-tion for vesico-vaginal patient was put to bed,and a self-retaining catheterworn for a few days; afterwhich the urine was drawn offwhen necessary. At the end of ten or twelve daysthe sutures were removed, the union of the two sur-. Fig. 98-. 248 UTERINE SURGERY. faces being perfect. The patient retained the recum-bent posture for a week longer, to allow the cicatrixto get strong enough to resist any traction that mightbe made by the bladder, rectum, or uterus itself. The uterus was held as nicely in its proper positionby this bridle of vaginal tissue as it was previously bythe tenaculum ; and fortunately she was wholly relievedof the suffering symptoms, of which she had so longcomplained before the operation. Twelve months afterwards this lady gave birth to ason. I saw her husband a year after the birth of thechild, and he reported his wife as enjoying mostexcellent health, never having felt the slightest symp-toms of her old troubles at any time since the am sorry to say I have performed this operation inbut two other instances. I have seen many cases suita-ble for it, but they have been satisfied
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