The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . OPERATIONS FOR VESICO-VAGINAL FISTULiE. 563 Operation.—After a preparatory constitutional treatment, the womanwas placed and confined as in the operation for lithotomy, and the vaginadilated by two broad spatulas pressed against its opposite sides, the edges ofthe fistula being denuded by seizing them with delicate hooks, and trimmingthem with keen scissors, curved flatwise. A straigh
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . OPERATIONS FOR VESICO-VAGINAL FISTULiE. 563 Operation.—After a preparatory constitutional treatment, the womanwas placed and confined as in the operation for lithotomy, and the vaginadilated by two broad spatulas pressed against its opposite sides, the edges ofthe fistula being denuded by seizing them with delicate hooks, and trimmingthem with keen scissors, curved flatwise. A straight needle, thirteen lineslong, being then armed with a silk ligature, doubled so as to form a noosefolly six inches long at one of its free ends, the bent extremity of a leadenwire of small size was fastened to it, and then by forceps and a porte-needleintroduced through the edges of the ulcer, so as to form the first stitch ofthe leaden suture, the ends of the leaden thread being loosely twisted, so asnot to pucker the edges of the fistula. Eight distinct sutures being thusformed and loosely twisted, were progressively tightened until the openingwas perfectly closed, when the ends of the leaden wires we
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