Gynaecology for students and practitioners . Fig. 508. Excision of Vulva and Inguinal GlandsVulvo-Vaginal Cancer. PERFORMED FOR both sides at the same time, whether they are palpable or not. Cancerwhich involves the vestibule often spreads across the mid-line {seeFig. 169, p. 356) ; it is also not infrequently multiple, appearing onboth sides simultaneously (see Fig. 167, p. 355) ; in such cases, there-fore, it becomes necessary to remove the glands from both operation proceeds as follows {see Figs. 508 and 509) : An incision through skin and superficial fascia is made above and PLA

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Gynaecology for students and practitioners . Fig. 508. Excision of Vulva and Inguinal GlandsVulvo-Vaginal Cancer. PERFORMED FOR both sides at the same time, whether they are palpable or not. Cancerwhich involves the vestibule often spreads across the mid-line {seeFig. 169, p. 356) ; it is also not infrequently multiple, appearing onboth sides simultaneously (see Fig. 167, p. 355) ; in such cases, there-fore, it becomes necessary to remove the glands from both operation proceeds as follows {see Figs. 508 and 509) : An incision through skin and superficial fascia is made above and PLASTIC OPERATIONS 839 parallel to Pouparts ligaments, and the fatty tissue of the groin,carrying the glands of both the inguinal and femoral groups, isdissected out en masse from without inwards. This is done on bothsides, the divided vessels being clamped and ligatured as the operationproceeds. The mass of glands and fat is not removed at this stage,

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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1