Clinical notes on uterine surgery : with special reference to the management of the sterile condition . pointed bistoury was passed through the little opening into the vagina, and the gristly structure was dividedfrom side to side, and then theblade of the knife was turneddownwards and backwards,cutting outwards, parallel, asit were, with the ascendingischial ramus, first on the rightand then on the left, keepingPig. 132. ^e in(iex finger in the rectum, to avoid making a recto-vaginal fistula. In this way the mouth of the vagina was made quitelarge enough, and when the finger was passed in, it
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . pointed bistoury was passed through the little opening into the vagina, and the gristly structure was dividedfrom side to side, and then theblade of the knife was turneddownwards and backwards,cutting outwards, parallel, asit were, with the ascendingischial ramus, first on the rightand then on the left, keepingPig. 132. ^e in(iex finger in the rectum, to avoid making a recto-vaginal fistula. In this way the mouth of the vagina was made quitelarge enough, and when the finger was passed in, itwas found to be sufficiently capacious above. The glassdilator was introduced, and I had the happiness ofsending this lady away in the course of a month perfectlyfitted for the married life. I directed her to wear the instrument a while everyday for an indefinite period, to guard against the com-mon accident of relapse I might relate many more very curious and interestingcases illustrating this point, but I forbear, as enoughhas been said to establish the principles that are to guideus in 4. Congenital Absence of the Vagina.—I haveseen five cases of congenital absence of the vagina,and in all of them there was no uterus. One of ABSENTIA VAGINAE. these, shown to ine by Dr. Livingston, of New York,had been married seven or eight years. She was mar-ried young, and, of course, had no idea of her peculiarcondition. The labia were normally developed, andthe membranous tissue between the meatus urinariusand the fourchette had by constant use been pushedup between the base of the bladder and the rectumtill it was developed into a blind pouch, into whichthe finger could , be passed to the depth of nearlytwo inches. As it would serve no practical purpose to dilate onthis subject, I shall leave it here, simply saying thatthe diagnosis in such cases is easy enough with a fingerin the rectum, and a souud in the bladder, alternatingthe latter with supra-pubic pressure. At t
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
