Treatise on gynaecology : medical and surgical . to which he attributesa large loart of his remarkable success (Figs. 86 and 87). After-treatment.—The oiDeration terminated, wash out the vagina CICATRICIAL FISTULA OF THE VAGINA. 319 with a sublimate solution (1: 2,000), and powder the line of suture withiodoform. Then place in the vagina a strip of iodoformed gauze toprevent wounding of the posterior wall by the silver wire or the silk-worm gut which are to be preferred to silk, as the latter absorbs tlievaginal and uterine secretions. We do not require any more elabor-ate dressing than this,
Treatise on gynaecology : medical and surgical . to which he attributesa large loart of his remarkable success (Figs. 86 and 87). After-treatment.—The oiDeration terminated, wash out the vagina CICATRICIAL FISTULA OF THE VAGINA. 319 with a sublimate solution (1: 2,000), and powder the line of suture withiodoform. Then place in the vagina a strip of iodoformed gauze toprevent wounding of the posterior wall by the silver wire or the silk-worm gut which are to be preferred to silk, as the latter absorbs tlievaginal and uterine secretions. We do not require any more elabor-ate dressing than this, which need not be renewed until after the re-moval of the sutures. Except in case of special indications theseshould be removed on about the eighth day, with i:)recautions againstreopening the wound. I think the permanent catheter invented bySims useful for the first forty-eight hours. I attach to it a rubbertube, having its free extremity in a boracic-acid solution, the urinebeing thus evacuated by siphonage without the introduction of Fig. 87.—Neugebauers Needle-holder. Prolonged retention of the catheter is attended by danger of is better after the first two or three days to practise repeated cathe-terization every three hours day and night. If at the time of opera-tion there be a vesical catarrh, or if this develop subsequently, it willbe well to follow each catheterization with an injection of boratedwater, being careful not to produce too much distention of the organ,which is often much reduced in size. Catheterization should be con-tinued for two days after the removal of the sutures, permittingurination upon the tenth or twelfth day. Vaginal injections of sublimate solution may be used at this timenight and morning. If a small aperture remain, touch the edgeswith the nitrate-of-silver stick, and spontaneous cicatrization will asn rule follow. If the opening is large, secondary union may be at-tempted by suturing together the granulating surfaces, h
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