A system of gynecology . large fistula, and one or both of theiropenings can be seen in the everted vesical mucosa; it must then beexceedingly difficult to avoid including them in the sutures at the timeof operation. Uretero-vaginal fistuhe are rarely formed in the fornix;communications between a ureter and the uterine cavity are still more uncommon. Fig. 65. 7 /~*\ J& it The operation of catheteri-zation of the ureters possessesno practical interest for thegeneral reader. In completeextirpation of the uterus theoperator avoids these ductsby keeping close to the cervix ;in gastro-elytrotomy it
A system of gynecology . large fistula, and one or both of theiropenings can be seen in the everted vesical mucosa; it must then beexceedingly difficult to avoid including them in the sutures at the timeof operation. Uretero-vaginal fistuhe are rarely formed in the fornix;communications between a ureter and the uterine cavity are still more uncommon. Fig. 65. 7 /~*\ J& it The operation of catheteri-zation of the ureters possessesno practical interest for thegeneral reader. In completeextirpation of the uterus theoperator avoids these ductsby keeping close to the cervix ;in gastro-elytrotomy it is gen-erally acknowledged that thevagina should be opened abovethe line at which it is crossedby the ureter. From thelimited space which exists forthe incision in the latter ope-ration, it is evident that thetear may readily involve thebladder; which is, in fact, acommon accident. Fortu-nately, wounds of this viscus(especially at its fundus) healquickly. Since endoscopy has become popular we have been able to study. Surgical Relations of the Ureters (Garrigues): r,uterus; /;. bladder; ur, ureter; «. urethra; V,vagina, with ./-. showing line of incision in gastro-elytrotomy; r, FaUopian tube; 0, ovary; b, broadligament; r, round ligament; ct, connective tis-sue 196 THE ANATOMY OF THE FEMALE PELVIC ORGANS. thoroughly the normal mucous membrane of the bladder, and conse-quently to distinguish more definitely the changes in it- color due todisease. It may be .stated in general, with regard to inflammation ofthe female bladder, that it is capable of* being diagnosticated moredirectly (by palpation through the vagina, etc.), and that local treat-ment by means of irrigation, permanent catheterization, and surgicalinterference is more practicable, than in the male. Intractable as aremany cases of chronic cystitis, it would seem as if suppuration andrenal complications should be of rare occurrence when the gyne-cologist can at any time establish perfect drainage through an artificial
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
