Treatise on gynæcology : medical and surgical . Fig. 284.—Colpo-Perineoplasty by Flap-Split- Fig. 285.—Colpo-Perineoplasty by Flap-Split- ting. The flap has been excised ; two lateral open- ting. Suture completed. Stitches all ou externalings are still unsutured. surface. brane with two or three tenaculum forceps, the highest placed about aninch from the cervix, and the lowest inches from the meatus. A 506 CLINICAL AND OPERATIVE GYNAECOLOGY. pair of strong and long curved forceps, or if necessary two pairs(Fig. 286), are now placed upon the fold [care being taken to avoid in-clusion of the
Treatise on gynæcology : medical and surgical . Fig. 284.—Colpo-Perineoplasty by Flap-Split- Fig. 285.—Colpo-Perineoplasty by Flap-Split- ting. The flap has been excised ; two lateral open- ting. Suture completed. Stitches all ou externalings are still unsutured. surface. brane with two or three tenaculum forceps, the highest placed about aninch from the cervix, and the lowest inches from the meatus. A 506 CLINICAL AND OPERATIVE GYNAECOLOGY. pair of strong and long curved forceps, or if necessary two pairs(Fig. 286), are now placed upon the fold [care being taken to avoid in-clusion of the vesical wall]; the bladder will not be injured by evenvery strong traction. Hegar places silver-wire sutures below thefor-ceps (or clamp) before exsection of the vaginal fold. I prefer acontinuous suture in layers. I cut off the mucous fold, stretch the. Fig. 286.—Anterior Elytrorrhaphy. Forceps grasping a fold of vaginal mucous membrane. tissues by means of forceps (Fig. 287), and insert the sutures accord-ing to the method described on page 49. Stolz41 has devised a very ingenious method of suturing in anteriorcolporrhaphy. After freshening an oval surface similar to that shownin Fig. 287, two curved needles are threaded on a silk suture, oneneedle at each end, and beginning near the cervix the suture ispassed in and out of the whole circumference of the wound, abouthalf an inch from the edge something like the draw-string of a tobacco PROLAPSE OF THE GENITAL ORGANS. 507 pouch (Fig. 288). The denuded surface is pushed inward toward thebladder and the ends of the silk closely drawn and tied. Tins was themost expeditious procedure known before the use of the continuoussuture in layers, which should be given the preference. Stolz freshensthe anterior vaginal wall with curved scissors, after rendering it
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