Clinical notes on uterine surgery : with special reference to the management of the sterile condition . inutes sufficed for this;and then the tampon was removed for the purpose ofclosing the edges of the opening by transverse surprise was equalled only by my delight, when Ifound that I had not succeeded in doing what I intend-ed ; for instead of excising the base of the bladder withthe anterior wall of the vagina, I had, by the tenacu-lum, simply raised the hypertrophied vaginal tissue upbetween the blades of the forceps, luckily separatingit from the lining membrane of the bladder,
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . inutes sufficed for this;and then the tampon was removed for the purpose ofclosing the edges of the opening by transverse surprise was equalled only by my delight, when Ifound that I had not succeeded in doing what I intend-ed ; for instead of excising the base of the bladder withthe anterior wall of the vagina, I had, by the tenacu-lum, simply raised the hypertrophied vaginal tissue upbetween the blades of the forceps, luckily separatingit from the lining membrane of the bladder, whichremained intact. Thus by a mere accident, the opera-tion was really far better than if I had succeeded inaccomplishing what theoretically I proposed to do. Fig. 121 would represent about the relative propor-tion of vaginal tissue here removed. The lateral edges UTERINE DISPLACEMENTS. 299 were brought together longitudinally by seven or eightsilver sutures passed transversely, as represented in thediagram. She was soon well, and is so to this operation was done nine years ago. The good. Fig. 121. result in this case led me to operate on others after-wards, by a simple denudation of the vaginal epitheliumto the same extent as shown above. One great objec-tion to this method was, that the necessarily tediousscarification permitted the loss of too much blood;another was the danger of an abscess forming in conse-quence of the central part of the scarified portion notbeing closely embraced by the sutures. For instance, itwill be seen by reference to the diagram, that when thesutures were closed, bringing the outer edges intoapposition, the central portion of denuded tissue notincluded by them would necessarily be thrown into a 300 UTERINE SURGERY. fold that would project the mucous membrane of th&bladder into a sort of longitudinal ridge along the hasfond. I was at first afraid that this loose tissue mightnot be held firmly enough together to unite by the firstintention
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