Gynaecology for students and practitioners . Fig. 478. Amputation of Cervix. The dotted line in the upper Figure indicates the extent of the anterior flap. The posterior flap is formed in the same way. The two lower Figures show the shelving character of the flaps and the method of rolling them in. completely overcome. Except for slight cases the complete operationis therefore to be preferred. Amputation of the Cervix (Vaginal Portion). This operation isperformed for hypertrophic elongation of the portio vaginalis. PLASTIC OPERATIONS 805 The operation is planned upon the same lines as those ju
Gynaecology for students and practitioners . Fig. 478. Amputation of Cervix. The dotted line in the upper Figure indicates the extent of the anterior flap. The posterior flap is formed in the same way. The two lower Figures show the shelving character of the flaps and the method of rolling them in. completely overcome. Except for slight cases the complete operationis therefore to be preferred. Amputation of the Cervix (Vaginal Portion). This operation isperformed for hypertrophic elongation of the portio vaginalis. PLASTIC OPERATIONS 805 The operation is planned upon the same lines as those just describedfor trachelorrhaphy. Owing to the elongation of the lower portionof the cervix the anterior flap-incision may be placed higher upwithout endangering the bladder {see Fig. 478). The lower limitof the bladder must be defined by the sound before commencing theincision, and again before passing the deep stitches. The amount of. Fig. 479. Pozzis Operation fob Sterility, showing the depth to whichthe incision is carried. cervical tissue removed is, however, much greater than in trachelor-rhaphy, and in delimiting the flaps due regard must be paid to theextent of tissue which it is proposed to remove. The base of theflap corresponds to the level of the amputation, and the flap shouldbe about three-quarters of an inch long to allow for shrinkage {seeFig. 478). The covering of the stump is carried out in the mannerdescribed above. The careful under stitching of the vascular areas atthe sides of the cervix is an important operative detail. Pozzis Operation for Sterility. The cervix is seized with a volsellaon either lip and drawn down. It is then divided laterally with 806 GYNECOLOGY scalpel or scissors, the incisions extend upwards for about three-quarters of an inch to one inch {see Fig. 479). The raw surfaces thusproduced are hollowed out by removing a small tongue of the inter-vening fibro-muscular wall. The m
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
