. The diagnosis and treatment of diseases of women. ^ incision with the bistoury,the area to be denuded, leaving in thecenter of each lip a strip al^out a third of an inch wide, to form the new cervicalcanal (Figs. 554, 557). The strip of tissue to be left should be wide enough so thatno stricture will result, after the healing and involution. Watch this point partic-ularly, as some stenosis, requiring dilatation, sometimes follows trachelorrhaphy. Itis a good plan to leave the strip a trifle wider at the exte^-nal os (Fig. 557).. Fig. 554. Areas for Denudation Outlined by incis-ion with the k
. The diagnosis and treatment of diseases of women. ^ incision with the bistoury,the area to be denuded, leaving in thecenter of each lip a strip al^out a third of an inch wide, to form the new cervicalcanal (Figs. 554, 557). The strip of tissue to be left should be wide enough so thatno stricture will result, after the healing and involution. Watch this point partic-ularly, as some stenosis, requiring dilatation, sometimes follows trachelorrhaphy. Itis a good plan to leave the strip a trifle wider at the exte^-nal os (Fig. 557).. Fig. 554. Areas for Denudation Outlined by incis-ion with the knife. This shows also the Method of De-nuding with the scissors. (Hirst—Diseases of Women.) 554 DISEASES OF THE UTERUS The area of denudation should include all the area of everted mucous mem-brane and scar-tissue, and should extend slightly outward on the vaginal surfaceof the cervix so as to give a wide surface of denudation for approximation. 4. Denude. A very good way is to first make an incision deep in the angleof each side (Fig. 556). This should extend through the scar-tissue into healthytissue. Then catch the lower angle of the strip to be removed from one side ofthe lower Upland, while holding this with the tissue forceps, clip it loose with thescissors, straight or curved as preferred (Fig. 554). This process of cutting iscontinued all the way to the base of the flap. The upper part of the same side ofthe cervix is treated the same way, and then the other side of the cervix. Begin-ning below diminishes the inc
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