Operative gynecology : . on-tained a tooth, and inthe course of seven yearsfour similar calculi con-taining teeth as nucleiwere extracted. Some months after the last one was removed she began to pass hairs incrusted withphosphatic deposits. Dr. Blackman gives a careful review of the literature ofthe subject. Fig. 267 shows the condition found in a patient of Dr. Henry Eisner, ofSyracuse, N. Y., in a case of pyuria due to a dermoid cyst. The patient, fortyyears, old, had known of the existence of the tumor for over twenty years before the operation the previously movable tumor becam
Operative gynecology : . on-tained a tooth, and inthe course of seven yearsfour similar calculi con-taining teeth as nucleiwere extracted. Some months after the last one was removed she began to pass hairs incrusted withphosphatic deposits. Dr. Blackman gives a careful review of the literature ofthe subject. Fig. 267 shows the condition found in a patient of Dr. Henry Eisner, ofSyracuse, N. Y., in a case of pyuria due to a dermoid cyst. The patient, fortyyears, old, had known of the existence of the tumor for over twenty years before the operation the previously movable tumor became fixedabove the symphysis, and for the same length of time she suffered from a pyuria. The tumor was found at the operation to be a right dermoid cyst denselyadherent to and discharging its contents into the bladder; after freeing numer-ous surrounding adhesions, the dense, fibrous sinus, 3 cm. in diameter, wasdissected out down to the bladder just above the symphysis pubis and cut off, exposing a lumen of about 3 Fig. 265.—Vesicovaginal Fistula, caused by a Pessary; seenin Sagittal Section. The shank of the pessary lies buried in the recto-vaginal vagina is atresic and the pus cavity in its upper portion dischargesinto the bladder, which lies contracted behind the symphysis, by a fis-tulous opening caused by the cup of the pessary. The hypertrophy ofthe vesico- and urethro-vaginal septum is shown, as also in Fig. 264. 410 AFFECTIONS OF THE UKETHKA AND BLADDER. This was closed by six interrupted buried catgut sutures and the vesicalperitoneum was then drawn over it and united by six more catgut sutures,leaving a longitudinal linear wound at the site of the attachment. No drain was used. The pus dis-appeared at once and aperfect recovery drainage is neces-sary it is easy to make thewound entirely extraperi-toneal by uniting the peri-toneum from the bladderup on to the abdominalwall, so as to leave what-ever space is desired be-tween the periton
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
