Plastic surgery; its principles and practice . Fig. 303.—Operation for the creation of a vagina (F. T. Stewart; Annals of Surgery,Feb., 1913).—The segment of ileum CDE is isolated. The ends A and B are united by end-to-end anastomosis. The ends C and D are ligated and invaginated. The mesenteryalong the distal half C to E tied and cut. The end C is drawn out between the bladder andrectum, the bowel at E attached to the vulval orifice, and the excess from C to E^cut Fig. 304.—Moris operation for the creation of a vagina (Quenu and Schwartz).—Diagram showing formation of a vagina by a sing
Plastic surgery; its principles and practice . Fig. 303.—Operation for the creation of a vagina (F. T. Stewart; Annals of Surgery,Feb., 1913).—The segment of ileum CDE is isolated. The ends A and B are united by end-to-end anastomosis. The ends C and D are ligated and invaginated. The mesenteryalong the distal half C to E tied and cut. The end C is drawn out between the bladder andrectum, the bowel at E attached to the vulval orifice, and the excess from C to E^cut Fig. 304.—Moris operation for the creation of a vagina (Quenu and Schwartz).—Diagram showing formation of a vagina by a single loop of ileum. The open end of theloop is sutured to the skin edges of the channel burrowed between the bladder and New vagina. B. Rectum. C. Bladder. D. Mesenteric pedicle. E. Lateral*anas-tomosis of ileum. ATRESIA OF THE VAGINA 34I Guggisberg reports a death following gangrene of a piece of boweltransplanted by Baldwins method. This accident emphasizes theimportance of preserving the blood supply of the loops of bowel untilthe new blood supply is assured. The double loop has the following advantages: (a) it forms a muchlarger vagina; (b) it provides a better blood supply; (c) with it we avoidany subsequent dilatation so often necessary when the single loop isemployed. Marshall has collected a number of cases of pregnancy following theformation of a new vagina, mostly by plastic methods, but my under-standing is that none of these were cases of
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