. Annual of the universal medical sciences. not often recognized, H-46 BALDY. [TSo* because it is not so apparent. He classifies the anterior lacerationsas unilateral and bilateral. For the resulting urethrocele and cys-tocele he proposes a lateral operation, which he has performedtwenty times, with good results. He begins his denudation at apoint to the side of the urethra, near its meatus, and extends italong the antero-lateral walls of the vagina to a point beyond theprolapse, the breadth being dependent upon the extent of theurethrocele and cystocele. The denudation may be on one or bothsi
. Annual of the universal medical sciences. not often recognized, H-46 BALDY. [TSo* because it is not so apparent. He classifies the anterior lacerationsas unilateral and bilateral. For the resulting urethrocele and cys-tocele he proposes a lateral operation, which he has performedtwenty times, with good results. He begins his denudation at apoint to the side of the urethra, near its meatus, and extends italong the antero-lateral walls of the vagina to a point beyond theprolapse, the breadth being dependent upon the extent of theurethrocele and cystocele. The denudation may be on one or bothsides, according as the laceration is unilateral or bilateral. Whenthe denuded surface extends beyond the neck of the bladder, hefastens tlie cervix to the end of tlie specidum by means of asuture, so that the cervix may be drawn upward and backwardAvliile tlie sutures are being inserted and tied. Tlie denuded surfaceis closed by silk-worm-gut sutures, passed from side to side andtied as inserted, leaving the ends long to facilitate Fig. 3.—Operation for Laceration of Vaginal, Wall.{Memphis Journal of the Medical Sciences.) New Instruments.—Duke Ap^^^jo describes a new form of vaginalirrigating-tube, which consists of an ordinary funnel, throughwhich a vulcanite or glass tube passes. The tube and apex of thefunnel are to be introduced into the vagina, after having been filledwith water, and are pressed firmly into the passage and held inclose contact with the vulva. The lavage is now administered in theusual way, the return current passing through the apex of thefunnel around the tube, finding its way out at the exit-pipe, on theside, to which tubing may be attached, leading to a vessel underthe bed. (See cut, page 47.) VAGINAL PORTIO. Amputation.—A new method in amputation of the portionisvaginalis uteri is described by The first step in theoperation consists in the excision of symmetrical triangular pyra- Vaginal!Portio. J DISEASES OF VAGINA AND E
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