Treatise on gynæcology : medical and surgical . .% T-f-W . %. Fig. 190.—Transverse Perineotomy, O. Zuckerkandl. A, Anus; B, Rectum; V, Vagina; Mra, Levator Ani muscle; Fir, Ischio-rectal fossa. , of the ischium, to a point 2 to 3 cm. from the fourchette. In this waythe ischio-rectal fossa is opened from below; then a part of the gluteusmaximus is resected (Wolfler then extirpates the coccyx, which preserves), the sacro-sciatic ligaments and the levator aniare incised, and the rectum detached from the vagina. The culs-de-sacof the latter canal are then incised, and the hysterectom
Treatise on gynæcology : medical and surgical . .% T-f-W . %. Fig. 190.—Transverse Perineotomy, O. Zuckerkandl. A, Anus; B, Rectum; V, Vagina; Mra, Levator Ani muscle; Fir, Ischio-rectal fossa. , of the ischium, to a point 2 to 3 cm. from the fourchette. In this waythe ischio-rectal fossa is opened from below; then a part of the gluteusmaximus is resected (Wolfler then extirpates the coccyx, which preserves), the sacro-sciatic ligaments and the levator aniare incised, and the rectum detached from the vagina. The culs-de-sacof the latter canal are then incised, and the hysterectomy is performedaccording to the rules already given. The operation is terminated by 380 CLINICAL AND OPEKATIVE GYNECOLOGY. exact occlusion of peritoneum and vagina and drainage of the para-sacral wound, which is partly closed by sutures. Wolfler has employedthis method upon the living subject, for extirpation of the rectumand also the uterus, while E. Zuckerkandl has limited his researchesto the cadaver. It seems to me bolder and yet more rational to emplo
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
