Operative gynecology : . Fig. 172. — Relaxed Vaginal Outlet in aVII-para, with Perfect Preservation Hymen, except in the Median LinePosteriorly. , ? Forceps, were not- any of the , June 1, Relaxed Vaginal Outlet. Shepherds-crook tenacula fixed in both sidesjust within the hymen, mark the limits of the de-nudation. The tenacula are crossed to show thesize to which it is proposed to reduce the recon-structed outlet. down, the new outlet will continue to be too large, notwithstanding the opera-tion. The. correct, pattern to have in mind in resecting is the nn


Operative gynecology : . Fig. 172. — Relaxed Vaginal Outlet in aVII-para, with Perfect Preservation Hymen, except in the Median LinePosteriorly. , ? Forceps, were not- any of the , June 1, Relaxed Vaginal Outlet. Shepherds-crook tenacula fixed in both sidesjust within the hymen, mark the limits of the de-nudation. The tenacula are crossed to show thesize to which it is proposed to reduce the recon-structed outlet. down, the new outlet will continue to be too large, notwithstanding the opera-tion. The. correct, pattern to have in mind in resecting is the nnlliparonsoutlet. OPERATION FOE RELAXED VAGINAL OUTLET. 299 A third tenaculum is now fixed in the vagina in the median line posteriorly,on the crest of the vaulted prominence of the rectocele, or posterior column(see Fig. 174). With these three points fixed, the area of denudation must now be out-lined with a sharp scalpel. The bloody outline obviates the liability to error


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1