. Clinical gyncology, medical and surgical. Fistula with only perineal fragmentremaining. Diagrammatic representation of operation. , rectalflaps, with Lauensteins sutures; , vaginal flaps. Fig. 13. directly dependent upon its size. The escape of flatus and liquid fseceswill continually soil and render offensive the discharges of the vagina. Diagnosis.—The position and size of the fistula will be determined byinspection,by its direction and length,and by the use of the probe. Wherethe odor of the discharge causes it tobe suspected, aud inspection does notdisclose it, its presence may b
. Clinical gyncology, medical and surgical. Fistula with only perineal fragmentremaining. Diagrammatic representation of operation. , rectalflaps, with Lauensteins sutures; , vaginal flaps. Fig. 13. directly dependent upon its size. The escape of flatus and liquid fseceswill continually soil and render offensive the discharges of the vagina. Diagnosis.—The position and size of the fistula will be determined byinspection,by its direction and length,and by the use of the probe. Wherethe odor of the discharge causes it tobe suspected, aud inspection does notdisclose it, its presence may be re-vealed by distending the rectum witha colored fluid. Treatment. — The operation forsuch a lesion must necessarily bedependent upon its size. When itis complicated, or is caused by stric-ture, no operation lor its closure isindicated until the full calibre ofthe bowel can be restored. Whenthe opening is small, a series offlap operations may be performed(Figs. 2,3, 4, 5, 6, 7, 8, 9, 10, 11,12. 13), closing the opening into the rectu
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