. Transactions of the Western Surgical Association. the base ofthe loop on the proximal side, and the gut was divided be-tween the clamps at both of these points. End-to-end anas-tomosis of the proximal and distal openings, with suture ofthe mesentery, was done, leaving a single leg of the gut witha clamp at each end, followed by suture and inversion of theupper end, with the clamp still on the lower end. (Fig, 2.)The gauze, in the new vagina, being removed, a long curvedforceps was carried through the vulval opening, down the newvaginal tract, and forced through the peritoneum at the lowerend
. Transactions of the Western Surgical Association. the base ofthe loop on the proximal side, and the gut was divided be-tween the clamps at both of these points. End-to-end anas-tomosis of the proximal and distal openings, with suture ofthe mesentery, was done, leaving a single leg of the gut witha clamp at each end, followed by suture and inversion of theupper end, with the clamp still on the lower end. (Fig, 2.)The gauze, in the new vagina, being removed, a long curvedforceps was carried through the vulval opening, down the newvaginal tract, and forced through the peritoneum at the lowerend of the new vaginal opening. This opening was sufficientlyenlarged, and the forceps was applied to the bowel, replacingthe clamp controlling the lower end. (Fig. 3.) The gut wasnow drawn through the vaginal opening to the vulva and theabdominal wall closed. (Fig. 4.) The lithotomy position wasresumed, the gut sutured around the vulval opening, and itslumen filled rather tightly with plain gauze. The gauze wasleft in the gut for seventy-two Fig. 1 Gut dod mesentery dutured ? .
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