. The diagnosis and treatment of diseases of women. Fig. 513. Hegars Operation. Showing the metliod of bringing to-gether the tissues by Buried Sutures. (Doderlein and Kronig—Opera-tive Cynakolofjie.) or rectocele, projects from the orifice and when marked tends to drag down thecervix uteri. b. It brings together in the median the lateral pelvic tissues aliout the lower partof the vagina. These are brought together l^etween the rectum and some of these tissues normally lie between the rectum and vagina, but most 498 LACERATIONS AND FlSTULiE of them pass back of the rectum (Figs. 489
. The diagnosis and treatment of diseases of women. Fig. 513. Hegars Operation. Showing the metliod of bringing to-gether the tissues by Buried Sutures. (Doderlein and Kronig—Opera-tive Cynakolofjie.) or rectocele, projects from the orifice and when marked tends to drag down thecervix uteri. b. It brings together in the median the lateral pelvic tissues aliout the lower partof the vagina. These are brought together l^etween the rectum and some of these tissues normally lie between the rectum and vagina, but most 498 LACERATIONS AND FlSTULiE of them pass back of the rectum (Figs. 489, 493). In bringing them togetherbetween the rectum and vagina the operation does not make an anatomical restora-tion of the pelvic sling, but it does to a large extent make a physiological restora-tion of the sling, in that the sling is shortened by this approximation of its sidesbetween the rectum and vagina, and the slack is thus taken up. The line of support. Fig. 514. Hegars Operation. Showing the closure of the sup-erficial portion of the vaginal wound by interupted sutures. Acontinuous suture maybe used if preferred. (Doderlein and Kronig— Operative Gynalculogie.) in the pelvic floor then runs between the rectum and vagina instead of back of therectum as normally. When the shortening is sufficient, good support is secured,with consequent relief of the distressing symptoms. This drawing together of lateral tissues between the rectum and vagina at theanterior part of the pelvic sling, and their union there by scar-tissue, takes place THE TAIT OPERATION 499 to a greater or less extent in practically all operations for the restoration of thepelvic floor—in Emmets, Hegars, Taits and the various modifications of each—and the careful bringing together of these deep lateral tissues by buried suturesis an important step in each of the operations. Taits Operation. This is commonly known as the flap-splitting operation
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