Pathology and treatment of diseases of women . of the cervical lips is indicated in all chronic inflamma-tory processes of the cervix, especially of the cervical lips. It is often-times executed for obtaining material for examinations in suspicious pro-liferations. By extending the operation higher up over the cervix, wherethe removal of a large portion of the hypertrophic cervix is required, itbecomes a high excision, which was considered by some individuals as OPERATIONS ON THE UTERUS 327 sufficient for the early stages of carcinomatous disease of the portio untilthe last decade of the ninet
Pathology and treatment of diseases of women . of the cervical lips is indicated in all chronic inflamma-tory processes of the cervix, especially of the cervical lips. It is often-times executed for obtaining material for examinations in suspicious pro-liferations. By extending the operation higher up over the cervix, wherethe removal of a large portion of the hypertrophic cervix is required, itbecomes a high excision, which was considered by some individuals as OPERATIONS ON THE UTERUS 327 sufficient for the early stages of carcinomatous disease of the portio untilthe last decade of the nineteenth century. As a rule, the mucosa of the cavum uteri also is not healthy; its micro-scopic examination is, however, certainly indicated. Accordingly I com-mence each excision of the cervix with a curettement of the entire uterus(vide supra, p. 30). If the uterus is movable, it is easy to draw it down to the introituswith tenaculum forceps. Otherwise the vaginal vault is exposed by theparavaginal accessory incision according to Fig. 145.—Excision of the Posterior Lip. The anterior cervical lip is caught with a tenaculum forceps, just sothe posterior one. Either the lateral commissures of the cervical lips areincised with the knife close to the vaginal vault, or the excision is con-fined to the lips, as in Figs. 145 and 146. The posterior lip is first pro-ceeded with: An incision is made as long and as far as each case by three or four sutures introduced in the cervical mucosa, pene-trating underneath the entire wound-surface and coming out on the vagi-nal surface of the portio. They are immediately tied. Between thesedeep sutures superficial ones are placed, until the wound-edges are exactly 328 DISEASES OF WOMEN coaptated. Then the anterior lipf;is excised: the cervix is first caughtexternally to the border of the excision. Suturing is done as in the pos-terior lip. Finally, the lateral commissures, in case thesewere split, areclosed by deep st
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
