. The diagnosis and treatment of diseases of women. Fig. 522. Hegars Operation for Cystocele. The va-ginal mucosa raised and the redundant portions beingexcised. This shows also tlie area of Denudation. (Diider-lein and Kronig—Operative Gynakulogie.) Fig. 523. Hegars Operation for Cystocele. Showingthe method of closing by deep and superficial sutures may be used for both deep andsuperficial if preferred. (Doderlein and Kronig—Opera-tice Gi/niikologie.) may be made interrupted or continuous. The latter are preferable, as they savetime. In the Hegar operation the lines of ten
. The diagnosis and treatment of diseases of women. Fig. 522. Hegars Operation for Cystocele. The va-ginal mucosa raised and the redundant portions beingexcised. This shows also tlie area of Denudation. (Diider-lein and Kronig—Operative Gynakulogie.) Fig. 523. Hegars Operation for Cystocele. Showingthe method of closing by deep and superficial sutures may be used for both deep andsuperficial if preferred. (Doderlein and Kronig—Opera-tice Gi/niikologie.) may be made interrupted or continuous. The latter are preferable, as they savetime. In the Hegar operation the lines of tension extend exclusively from sideto side. There is no downward pull on the cervix, which is a serious disadvan-tage of the Stoltz operation (purse-string operation.) 506 LACERATIONS AND FISTULA RECTO=VAQINAL FISTULA. From injuries in labor or from destructive ulceration or from other causes, fis-tulous openings may form, extending in various directions. The different varietiesof genital fistulae, with the name given to each, are shown in Fig.
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