. Annual of the universal medical sciences. utation.—A new method in amputation of the portionisvaginalis uteri is described by The first step in theoperation consists in the excision of symmetrical triangular pyra- Vaginal!Portio. J DISEASES OF VAGINA AND EXTERNAL GENITALS. H-47 mids out of the sides of the vaginal portion, in order to make thestump left after operation thinner, and to lessen the excess ofvaginal mucous membrane. After suturing the wounds left by theexcision of the pyramids, the vaginal portion is removed by twoincisions, one anterior and one posterior, which m
. Annual of the universal medical sciences. utation.—A new method in amputation of the portionisvaginalis uteri is described by The first step in theoperation consists in the excision of symmetrical triangular pyra- Vaginal!Portio. J DISEASES OF VAGINA AND EXTERNAL GENITALS. H-47 mids out of the sides of the vaginal portion, in order to make thestump left after operation thinner, and to lessen the excess ofvaginal mucous membrane. After suturing the wounds left by theexcision of the pyramids, the vaginal portion is removed by twoincisions, one anterior and one posterior, which meet in the mid-dle of the cervical canal, under an open angle directed operation is easily performed, rapidly carried out, and thebleeding is unimportant. The healing is rapid, and there is nodisfiguration of the vaginal portion. Trachelorrhaphy.—Attention is called by Goodell, of Phila-delphia, F^bi and Bogart, of Chattanooga, i„f5% to the value of carefulpreparatory treatment, before performing the operation for closure. Vaginal Irrigating-Tube.(Medical Press and Circular.) of the laceration of the cervix. Goodell believes that curettingof the endometrium should always precede of successful operation are reported by Skene Keith, ofLondon 1,^6%; Martin, of Michigan Vif; and Gillespie, of Covington,^t Martin uses braided-silk suture that has been boiledand preserved in absolute alcohol, while Gillespie prefers silk-wormgut, using a corkscrew needle. Cancer.—Siegheim, of Berlin, j„„^f,6reports a case of carcinomaof the vaginal portio, occurring in a woman 54 years old, without anyaccompanying symptoms referable to the genital tract. The patientsuffered from an attack of influenza and, during its course, fromconstipation and flatulence. In the examination for the cause of H—48 BALDT. r Ureter, this trouble, the vaginal portio and under part of the cervix werefound to be entirely wanting, as was the upper part of the vagina,wh
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