. Gynecology : . Fig. 313.—Jtjxtacervical Fistttla. The Incision. The opening into the uterine canal may be sutured or not. If the edgesare freshened, it will heal spontaneously, and if not closed too tightly acts as achannel for drainage in case the bladder wound does not heal properly. Vesico-uterine fistulae may be closed indirectly by denuding and suturing thecervical lips (hysterostomatocleisis), by which procedure the uterus is made todrain into the bladder. The operation is not recommended unless other methodsare not feasible. OPERATIONS ON THE VAGINA 663. FlG. 314. JUXTACERVI
. Gynecology : . Fig. 313.—Jtjxtacervical Fistttla. The Incision. The opening into the uterine canal may be sutured or not. If the edgesare freshened, it will heal spontaneously, and if not closed too tightly acts as achannel for drainage in case the bladder wound does not heal properly. Vesico-uterine fistulae may be closed indirectly by denuding and suturing thecervical lips (hysterostomatocleisis), by which procedure the uterus is made todrain into the bladder. The operation is not recommended unless other methodsare not feasible. OPERATIONS ON THE VAGINA 663. FlG. 314. JUXTACERVICAL FlSTULA. The bladder has been freed from the cervix. The opening in the bladder is being closed in by a running Lembert suture.
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