Clinical notes on uterine surgery : with special reference to the management of the sterile condition . y malleableuterine sound curved as represented in fig. 125. Itsconvexity rests centrally along the middle line of theanterior wall, the distal end pushes back the cervix uteri,while the counter-curvature lies in contact with the ure-thra. By thus pushing the neck of the uterus back in astraight line, while the anterior wall is depressed cen-trally, the curvature of the sound is hidden from view bythe lateral folds of the vagina, which fall over it and meetin the middle line, showing us exact
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . y malleableuterine sound curved as represented in fig. 125. Itsconvexity rests centrally along the middle line of theanterior wall, the distal end pushes back the cervix uteri,while the counter-curvature lies in contact with the ure-thra. By thus pushing the neck of the uterus back in astraight line, while the anterior wall is depressed cen-trally, the curvature of the sound is hidden from view bythe lateral folds of the vagina, which fall over it and meetin the middle line, showing us exactly where the tissueis to be removed for the purpose of uniting the partsthat thus so naturally and easily come together. Withthe parts thus held, it is very easy to denude two sur-faces a third of an inch wide or more, extending, seem-ingly, almost in parallel lines from the neck of the blad-der upon each side of the cervix uteri. To make thetransverse line of denudation join the upper ends of thesetwo arms of the V5 we remove the curved sound and?Dull the cervix downwards with a small Fig. 126. V7e must be careful not to make the arms of the V too-divergent, and at the same time we must avoid running 308 UTERINE SURGERY. them too closely together. They should, when unitedby sutures, relieve the cystocele without putting theparts too much on the stretch. The sutures are, ofcourse, to be passed transversely, beginning below, asrepresented in fig. 121. The sound is to be retained,pushing the uterus backwards till we come to pass thosenear the cervix uteri. These should be made to em-brace all the denuded tissue, c d, excluding the unde-nucled portion e (fig. 123). I think it very importantto leave a drain here, as before said, for the dischargeof the normal secretions of the pouch/. Fig. 126 represents the speculum in position, and thecurved sound pushing back the cervix and depressingthe anterior wall of the vagina. Dr. Emmet bends the end of the sound into the formo
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
