The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita00will Year: 1921 Circular Amputation of the Cervix 633 lips. The tissues are injected at frequent intervals with a local anaesthetic to which adrenalin chloride has been added. A circular incision is now made around the margin of the true cervical lips, as shown in Fig. 200. The vaginal mu- cosa is seized at frequent intervals around its free margin with artery forceps and, applying moderate traction, is care- fully dissected from the underlying cervical body as far forward as the endocervical
The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita00will Year: 1921 Circular Amputation of the Cervix 633 lips. The tissues are injected at frequent intervals with a local anaesthetic to which adrenalin chloride has been added. A circular incision is now made around the margin of the true cervical lips, as shown in Fig. 200. The vaginal mu- cosa is seized at frequent intervals around its free margin with artery forceps and, applying moderate traction, is care- fully dissected from the underlying cervical body as far forward as the endocervical mucosa is diseased. A longitu- Fig. 200a—Special Instruments for Trachelectomy. /, Cervical retractor ; 2, Tenaculum forceps. dinal incision is now made through the core on either side, dividing it, for the entire length of that portion which has been freed from the vaginal mucosa, into about equal upper and lower halves (See Fig. 201). At this point in the opera- tion, it should be ascertained that the cervical stump is firmly grasped by the tenaculum forceps, because at a later stage their replacement would become very difficult, should their hold be lost. Each of the two segments of the cervical core has an inner lining membrane of endocervical mucosa,
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