. Gynecology : . Wy3©^ Fig. 351.—Dudleys Operation for of wedges from the sides of the incisionand placing of the approximating stitch. Fig. 352.—Dudleys Operation for of the wound. uterine canal. Care must be exercised in performing this part of the operationnot to enter the peritoneal cavity in the pouch of Douglas, an accident that,however, does no special harm. The next maneuver is to approximate the ends of the wound at the externalos to the upper angle of the wound. In order to accomplish this without tension,wedge-shaped pieces of tissue are rem
. Gynecology : . Wy3©^ Fig. 351.—Dudleys Operation for of wedges from the sides of the incisionand placing of the approximating stitch. Fig. 352.—Dudleys Operation for of the wound. uterine canal. Care must be exercised in performing this part of the operationnot to enter the peritoneal cavity in the pouch of Douglas, an accident that,however, does no special harm. The next maneuver is to approximate the ends of the wound at the externalos to the upper angle of the wound. In order to accomplish this without tension,wedge-shaped pieces of tissue are removed from the middle portion of each sideof the wound, as shown in the drawing (Fig. 351). A stitch is then introducedin the manner shown in Fig. 351, which when taut draws the posterior part ofthe external os up to the angle of the wound at the internal os. Stitches areplaced in the lateral parts of the wound to control hemorrhage and secure goodcoaptation of the wound edges. OPERATIONS FOR UTERINE MALPOSIT
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