. St. Louis courier of medicine. tention to the fact that this operation does not nar-row the mucous membrane of the vagina but shortens it, as thecrest is brought down to the perineum. So far I do not objectto the removal of the membrane when there is much subinvolu-tion with elongation and rectocele, for the reason given above. From this point is where my method differs from any whichI can find described. A, rectal wall. B, vaginal wall. C, vaginal mucous membrane. D, vaginal mucous membrane flaps forming crest. E, sutures. * Instead of extending my denudation up the posterior wall, re-movin
. St. Louis courier of medicine. tention to the fact that this operation does not nar-row the mucous membrane of the vagina but shortens it, as thecrest is brought down to the perineum. So far I do not objectto the removal of the membrane when there is much subinvolu-tion with elongation and rectocele, for the reason given above. From this point is where my method differs from any whichI can find described. A, rectal wall. B, vaginal wall. C, vaginal mucous membrane. D, vaginal mucous membrane flaps forming crest. E, sutures. * Instead of extending my denudation up the posterior wall, re-moving the greater portion of it as is done by Simon and others,or denuding two strips in either posterior sulcus, as Martindoes, or various modifications of these methods, I made an inci-sion through the mucous me mbrane, in the median line, fromnear the cervix to the denudation at the crest of the now dissected up this membrane from the incision toward thelateral walls of the vagina, probably three-fourths of an inch or. Fig. II.
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1887
