An American text-book of the diseases of children .. . dissected loose and its edges are brought downand secured to the skin by sutures. By this dissection of the rectum and bring-ing down of its edges, the opening into the vagina, if it be a low one, is oblit-erated. If a high opening into the vagina remain after the anus has beenestablished in its normal position, an operation may be undertaken later toclose this recto-vaginal fistula. An ingenious operation, devised by Rizzoli,for the relief of this malformation is performed as follows: An incision is car-ried from the lower margin of the v


An American text-book of the diseases of children .. . dissected loose and its edges are brought downand secured to the skin by sutures. By this dissection of the rectum and bring-ing down of its edges, the opening into the vagina, if it be a low one, is oblit-erated. If a high opening into the vagina remain after the anus has beenestablished in its normal position, an operation may be undertaken later toclose this recto-vaginal fistula. An ingenious operation, devised by Rizzoli,for the relief of this malformation is performed as follows: An incision is car-ried from the lower margin of the vaginal anus backward through the perineumtoward the coccyx, care being taken not to open the intestine; the terminationof the rectum with its vaginal orifice is now carefully dissected out, and theabnormal anus is transplanted to its natural situation and secured in that posi-tion by a few sutures, after which the perineal and vaginal wounds are broughttogether by deep sutures. Atresia Ani Vesicalis.—In this variety the rectum communicates with the. MALFORMATIONS OF THE RECTUM AND ANUS. 599 Fig. 7.


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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895