. Atlas and epitome of gynecology . Fig. 27.—Complete prolapse of a retroflexed uterus, with os is notched (photograph from original water-color). position by retrofixatio colli uteri, with or without open-ing of the recto-uterine pouch; by shortening the roundligaments, either in the inguinal canal or after an anteriorcolpotomy. By the latter route the broad ligaments maybe shortened or a thickened uterus may be anteflexed by TREATMENT. 67 excision of a wedge-shaped piece from its anterior the menopause the uterus may be separated from thebladder and stitched to the v
. Atlas and epitome of gynecology . Fig. 27.—Complete prolapse of a retroflexed uterus, with os is notched (photograph from original water-color). position by retrofixatio colli uteri, with or without open-ing of the recto-uterine pouch; by shortening the roundligaments, either in the inguinal canal or after an anteriorcolpotomy. By the latter route the broad ligaments maybe shortened or a thickened uterus may be anteflexed by TREATMENT. 67 excision of a wedge-shaped piece from its anterior the menopause the uterus may be separated from thebladder and stitched to the vagina or bladder (vaginofixa-tion or vesicofixation of Diihrssen, Mackenrodt). If theorgan is held by strong adhesions, or if the ligaments and. Fig. 28.—Complete prolapse of a retroflexed uterus ; simple erosion,without rectoeele. (See Fig. 27.) (Photograph from original water-color. ) vaginal walls are greatly relaxed, ventrofixation should beperformed; the best method is that of Czerny-Leopolcl,which consists in stitching the uterine serosa (Sangerstitches the round or broad ligament) directly to theparietal peritoneum of the abdominal wall. 68 VAGINAL AND UTERINE PROLAPSE. PLATE 8. Complete Prolapse of an Anteflexed Uterus; Cystocele. Ascertained by the introduction of the sound into the diverticulum(note direction of sound ; latter held like a pen). Excoriation of theinverted mucous membrane. (Original water-color.) Retention is secured by narrowing the vagina and re-pairing the perineum ; anterior colporrhaphy of Sims, incystocele, by excising a portion of the mucous membrane(shaped like a myrtle leaf) and bringing the edges of thewound together; [An oval denudation (Martin), reachingfrom the meatus urinarius to the ce
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