. A manual of gynæcology and pelvic surgery, for students and practitioners. is stage of theoperation when method B is followed. M [ 1 of £L Jl 1^ ^ 3» 211 M iR l^\ ~«L jflr J^^gi 1 ^1 m^L. -^mM ? ^ffS, \ ^^m. mll I mM flBLi^Vki 1 . j^H^hK ^i^^S^ f ^ ^^^^?P ^^\ j^fB^ p^^ Fig. 49.—Anterior colporrhaphy. Method B. A longitudinal incision is madefrom the level of the external urethral orifice to the cervico-vaginal junction. If method A has been followed the edges of the cut vaginalwall are united longitudinally wdth interrupted silkworm gutor continuous chromic catgut sutures, preferably the lat
. A manual of gynæcology and pelvic surgery, for students and practitioners. is stage of theoperation when method B is followed. M [ 1 of £L Jl 1^ ^ 3» 211 M iR l^\ ~«L jflr J^^gi 1 ^1 m^L. -^mM ? ^ffS, \ ^^m. mll I mM flBLi^Vki 1 . j^H^hK ^i^^S^ f ^ ^^^^?P ^^\ j^fB^ p^^ Fig. 49.—Anterior colporrhaphy. Method B. A longitudinal incision is madefrom the level of the external urethral orifice to the cervico-vaginal junction. If method A has been followed the edges of the cut vaginalwall are united longitudinally wdth interrupted silkworm gutor continuous chromic catgut sutures, preferably the method B has been adopted a continuous chromic catgutsuture is introduced at one end of the wound through the apexof the triangle at one side, carried across to the apex of the ANTERIOR COLPORRHAPHY 135 triangle on the opposite side and tied, after which it is continuedin a similar manner to the other end of the wound, the needlepicking up only the tissues at the lateral apex of the wound oneach side. When this row of stitches is finished, it will be found. Fig. 50.—Anterior colporrhaphy. Method B. Separating anterior vagina wall from bladder. that the vagina is firmly narrowed and the flaps before men-tioned fall together by their broad raw surfaces instead of edge-wise. A little only of each flap is snipped off with the scissors,so that a distinct column is left down the middle of the anteriorvaginal wall, and this is whipped over with another row of 136 INJURIES TO THE PERINEUM AND PELVIC DIAPHRAGM catgut stitches. By this method much less tissue is removedthan by method A, and that which remains assists in thickeningthe anterior vaginal wall.
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Keywords: ., bookcentury1900, bookdecade1910, bookidman, booksubjectgynecology
