. The diagnosis and treatment of diseases of women. ion. Showing the closure of the sup-erficial portion of the vaginal wound by interupted sutures. Acontinuous suture maybe used if preferred. (Doderlein and Kronig— Operative Gynalculogie.) in the pelvic floor then runs between the rectum and vagina instead of back of therectum as normally. When the shortening is sufficient, good support is secured,with consequent relief of the distressing symptoms. This drawing together of lateral tissues between the rectum and vagina at theanterior part of the pelvic sling, and their union there by scar-tiss
. The diagnosis and treatment of diseases of women. ion. Showing the closure of the sup-erficial portion of the vaginal wound by interupted sutures. Acontinuous suture maybe used if preferred. (Doderlein and Kronig— Operative Gynalculogie.) in the pelvic floor then runs between the rectum and vagina instead of back of therectum as normally. When the shortening is sufficient, good support is secured,with consequent relief of the distressing symptoms. This drawing together of lateral tissues between the rectum and vagina at theanterior part of the pelvic sling, and their union there by scar-tissue, takes place THE TAIT OPERATION 499 to a greater or less extent in practically all operations for the restoration of thepelvic floor—in Emmets, Hegars, Taits and the various modifications of each—and the careful bringing together of these deep lateral tissues by buried suturesis an important step in each of the operations. Taits Operation. This is commonly known as the flap-splitting operation. It is called also the. Fig. 515. Taits Operation. Tue Line of Incision forOrdinary Laceration of tlie pelvic floor. (Thomas and Munde—Diseases of Women.) An incision is made along the lower margin of the area to be denuded, as shownin Fig. 515, and the mucous membrane is raised as a flap, as shown in Fig. 518. The area of denudation is nearly the same as in Hegars operation but it has overit a large flap. This flap is both an advantage and a disadvantage. 33 500 LACERATIONS AND FISTULA One advantage is that it acts as a roof to protect tlie repaired area from thesecretions from above which, in the otlier forms of operation, sometimes infect thewound and cause partial or complete failure. Furthermore, the flap-method gives alarge raw surface for approximation without any loss of tissue, and the amount oftissue left in the flap adds somewhat to the mass which fills the weak place in thepelvic floor. A distinct disadvantage of the flap is that it may preven
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