. Atlas and epitome of gynecology . - /: LUh. Anst E Revchhold, Miinchen. TREATMENT. 69 wound freely loosened up, and the sutures accuratelyplaced. Considerable experience is necessary to enable theoperator to remove neither too much nor too little the operation is completed, the vulva should notgape, and the vaginal walls should be well supported by. Fig. 29.—Complete prolapse of an anteflexed uterus ; simple erosion.(See Plate 28.) (Photograph from original water-color.) the new perineum. Buried catgut or fine silk may beused as suture material in the vagina; in the perineum,silk


. Atlas and epitome of gynecology . - /: LUh. Anst E Revchhold, Miinchen. TREATMENT. 69 wound freely loosened up, and the sutures accuratelyplaced. Considerable experience is necessary to enable theoperator to remove neither too much nor too little the operation is completed, the vulva should notgape, and the vaginal walls should be well supported by. Fig. 29.—Complete prolapse of an anteflexed uterus ; simple erosion.(See Plate 28.) (Photograph from original water-color.) the new perineum. Buried catgut or fine silk may beused as suture material in the vagina; in the perineum,silkworm gut or silver wire is to be employed. If an ectropion or an ulceration exists, the incision maybe made to include this portion of the cervix. Not only 70 VAGINAL AND UTERINE PROLAPSE. PLATE 9. Extreme Inversion of the Vagina, with Cystocele and Incomplete Prolapse of the Retroverted Uterus. (Original water-color.) Density of the rnncous membrane. Thickening of the vessels. superficial parts of the mucous membrane, but also exten-sive wedges of muscular tissue (see Metritis), or conicpieces of the hypertrophied cervix, may be excised, anddeep sutures of silk or silkworm gut may then be inserted. The preparation of the patient and the after-treatmentmust receive as much care as the operation. Before theoperation, laxatives, vagina well scrubbed out w


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