An international system of electro-therapeutics : for students, general practitioners, and specialists . r the vaginal or other outlying struc-tures are involved. Regarding the extent to which excision of the diseased part as wellas the subsequent dry-roasting of its exposed seat must be carried, thereshould be no limit beyond what a due regard to the integrity of the ad-jacent organs would suggest. Where the disease would seem to be con-fined strictly to the portio vaginalis,—for example, in so-called caulifloweror vegetating epithelioma, and even true carcinoma in its early stage,—itwas form


An international system of electro-therapeutics : for students, general practitioners, and specialists . r the vaginal or other outlying struc-tures are involved. Regarding the extent to which excision of the diseased part as wellas the subsequent dry-roasting of its exposed seat must be carried, thereshould be no limit beyond what a due regard to the integrity of the ad-jacent organs would suggest. Where the disease would seem to be con-fined strictly to the portio vaginalis,—for example, in so-called caulifloweror vegetating epithelioma, and even true carcinoma in its early stage,—itwas formerly deemed sufficient to remove the part by the cautery loopalone, steady traction being maintained during the passage of the heated 60 L-14 BYRNE. wire. It is true a deeply-concave stump resulted from such manoeuvre,and in this class of cases relapses have been rare and , it will be better to excise by the cautery knife (Fig. 14)close up to the vaginal junction. Should there be good reason to believethat no part of the upper cervical canal has been invaded, the circular. Fig. 19. incision directed obliquely upward to the depth of a quarter of an inchor less may be made (Fig. 19), the platinum loop adjusted in the fissure,and while traction is kept up by means of the diverging vulsellum (Fig. 10)the operation may be proceeded with more expeditiously in this manner


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectuterus, bookyear1894