The practice of surgery . Fig. —Dudleys operation for anteflexion of the uterus—step 2. The cutsurfaces held apart by tenacula. The dotted hnes show wedge-shaped pieces to beremoved by scissors, in order to make the cut surfaces more readily fold upon them-selves. Suture designed to fold cut surfaces on themselves, in place, but not tied. from before backward, enlarging and changing the direction of thecanal on the same principle as that employed in a Heineke-Mikuliczpyloroplasty. It is well to use silkworm-gut for this suture. As a. Fig. 16S.—Dudleys operation for anteflexion of the uter


The practice of surgery . Fig. —Dudleys operation for anteflexion of the uterus—step 2. The cutsurfaces held apart by tenacula. The dotted hnes show wedge-shaped pieces to beremoved by scissors, in order to make the cut surfaces more readily fold upon them-selves. Suture designed to fold cut surfaces on themselves, in place, but not tied. from before backward, enlarging and changing the direction of thecanal on the same principle as that employed in a Heineke-Mikuliczpyloroplasty. It is well to use silkworm-gut for this suture. As a. Fig. 16S.—Dudleys operation for anteflexion of the uterus—step 3. Sutureshown in Fig. 167 tied, and additional sutures designed to fortify this one also in-troduced and tied. This ordinarily completes the operation. result of this maneuver the cervix is straightened backward and is madeto point in the axis of the fundus. Dudley points out that in some casesthere remains an abnormally long anterior lip. 288 FEMALE ORGANS OF GENERATION Descent of the Uterus and Procidentia.—The various malposi-tions of the uterus which 1 have descriljed are frequently associatedwith a general descent of that organ, and prolapse of the uterus throughthe vagina, even to the extent of its protrusion through the vulva, iscommon. After protrusion through the vulva the condition is calledprocidentia. Procidentia must not be confounded with with prolapse of the uterus are commonly women who have bornechildren and have suffered from extensive weakening of the uterine liga-ments and wide


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910