. Gynecology : . ions that result from laceration by childbirth—i. e., ectropion,endocervicitis, and cervicitis. Our short experience with the operation has beenunsatisfactory, and we have discarded it in our clinic. 694 GYNECOLOGY Dudleys Operation.—Another principle, used for many years for ante-flexion, is that of posterior discission of the cervix, including the internal does away with the lower leg of the angle and theoretically relieves obstruc-tion. The technic devised by Dudley is the best one to employ in performingthis operation. With the patient either in the Sims or perinea


. Gynecology : . ions that result from laceration by childbirth—i. e., ectropion,endocervicitis, and cervicitis. Our short experience with the operation has beenunsatisfactory, and we have discarded it in our clinic. 694 GYNECOLOGY Dudleys Operation.—Another principle, used for many years for ante-flexion, is that of posterior discission of the cervix, including the internal does away with the lower leg of the angle and theoretically relieves obstruc-tion. The technic devised by Dudley is the best one to employ in performingthis operation. With the patient either in the Sims or perineal position, the cervix is firstthoroughly dilated. The posterior wall of the cervix is then divided exactlyin the median line back as far as the junction of cervix and vagina. The next step is to sever the constriction at the internal os. This is donewith a narrow scalpel, which, under guidance of the finger, cuts the fibers of theinternal os until the opening is sufficiently wide to admit the finger into the.


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