. Transactions of the Western Surgical Association. Fig. 3. FiK. 4 ABBOTT 163 At the end of two weeks the patient was examined. Therewas a tendency to contracture at two points, first, at the vulvalopening and, secondly, where the gut passed through the peri-toneum. Gradual dilatation and the use of suitable plugs read-ily overcame the tendency, and she now has a satisfactoryvagina as shown by the .^--rayobtained by using a soft rubberdam tube 1 inch in diameter filled with barium and insertedin the vagina. A larger tube, if available, could have beenused. There is no excessive discharge or od
. Transactions of the Western Surgical Association. Fig. 3. FiK. 4 ABBOTT 163 At the end of two weeks the patient was examined. Therewas a tendency to contracture at two points, first, at the vulvalopening and, secondly, where the gut passed through the peri-toneum. Gradual dilatation and the use of suitable plugs read-ily overcame the tendency, and she now has a satisfactoryvagina as shown by the .^--rayobtained by using a soft rubberdam tube 1 inch in diameter filled with barium and insertedin the vagina. A larger tube, if available, could have beenused. There is no excessive discharge or odor. (Fig. 5.) In making the new vaginal opening one should becareful to seek the natural line of cleavage,—the looseconnective tissue betv^een the vagina and the rectum.(Fig. 4.) This line can best be found after the ver-tical incision is made, and can then be followed byblunt dissection with the certainty of not piercing thebladder or the rectum, and with almost entire freedomfrom hemorrhage. This line of cleavage in womenwithout a vagina corresponds q
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