Treatise on gynaecology : medical and surgical . aria tent. If the opening is small and thefistulous tract of considerable length, we may try cauterization withthe red point of a therm o-cautery (or, better yet, a galyano-cautery)repeated several times at intervals of eight days. Many other caus-tics have been tried, among others the nitrate of silver. Neuge-bauer^Mias obtained by cauterization 15 recoveries in 133 cases, buthe has also had one death from this method of treatment. If the CICATRICIAL FISTULJE OF THE VAGIISTA cauterizations fail,, we shall have to have recourse to one of the two
Treatise on gynaecology : medical and surgical . aria tent. If the opening is small and thefistulous tract of considerable length, we may try cauterization withthe red point of a therm o-cautery (or, better yet, a galyano-cautery)repeated several times at intervals of eight days. Many other caus-tics have been tried, among others the nitrate of silver. Neuge-bauer^Mias obtained by cauterization 15 recoveries in 133 cases, buthe has also had one death from this method of treatment. If the CICATRICIAL FISTULJE OF THE VAGIISTA cauterizations fail,, we shall have to have recourse to one of the twofollowing operations for closing the fistula: 1. Denudation and suture. 2. Cystoplasty by dissection of the anterior portion of the cervixand suture according to Follets method. Denudation and suture were first successfully practised by Jobertof Lamballe (1849) in a case which was for a long time unique. Simonhas done but one such operation. Several successful cases have beenreported by Emmet,^^ Kaltenbach, Lessen, Martin, Muller,**! Schroder/^.
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