. The Richmond and Louisville medical journal . F A, pared fistula, or appearance of the same after ex-cision. Figure 12,. N, cicatrix; F, fistula. VESICOVAGINAL FISTULA. 57 The defect could only be covered by drawing the uterus for-ward and letting it partly supply the fistular loss. By sometraction with a Musseuxs forceps I could so draw forward theanterior lip of the uterus as to bring it in contact with theurethra. I pared the edges (behind the anterior lip of the os),which was done without difficulty save in the posterior angles,and united them with eleven sutures. The line of union was o
. The Richmond and Louisville medical journal . F A, pared fistula, or appearance of the same after ex-cision. Figure 12,. N, cicatrix; F, fistula. VESICOVAGINAL FISTULA. 57 The defect could only be covered by drawing the uterus for-ward and letting it partly supply the fistular loss. By sometraction with a Musseuxs forceps I could so draw forward theanterior lip of the uterus as to bring it in contact with theurethra. I pared the edges (behind the anterior lip of the os),which was done without difficulty save in the posterior angles,and united them with eleven sutures. The line of union was of asemi-lunar shape, with its strong convexity towards the front(see figure 2 of the plates). During the first day only was cathe-terization necessary; after the second day the patient urinatedvoluntarily. On account of the considerable wounding of thebladder and traction on the united parts, spasms of the bladderensued, which diminished only on the fourth day; there wasalso reiterated vomiting during the first two days. Sutureswere taken out from the fifth to the eighth days. The defectproved cured, excepting a smal
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
