. The medical age : a semi-monthly journal of medicine and surgery. ond assist-ant held in position a silver catheter, previouslyintroduced and with his right hand elevatedthe right side of the nates. Everything beingready, the required instruments close athand, Professor Carstexs proceeded tothe first step of the operation. With a strongtenaculum catching hold of the remotestedge of the fistula, he commenced to pareits walls with a long-handled bistouryfrom the vaginal mucous membrane towardthe bladder. Having succeeded in one place,another part of the fistulous edge was graspedand the proces
. The medical age : a semi-monthly journal of medicine and surgery. ond assist-ant held in position a silver catheter, previouslyintroduced and with his right hand elevatedthe right side of the nates. Everything beingready, the required instruments close athand, Professor Carstexs proceeded tothe first step of the operation. With a strongtenaculum catching hold of the remotestedge of the fistula, he commenced to pareits walls with a long-handled bistouryfrom the vaginal mucous membrane towardthe bladder. Having succeeded in one place,another part of the fistulous edge was graspedand the process of paring repeated, until aperfect circle of healthy tissue was obtained,about eight to nine lines in diameter at thevaginal wall and evenly tapering off towardsthe bladder. The danger of wounding thevery vascular lining membrane of the bladderwas skillfully avoided and consequently theamount of hemorrhage was only very slightind easily controlled by sponging. The first step now being successfully com-pleted, the operator proceeded to the passingof the -
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectmedicine
