. Pelvic inflammation in women. ofTHE Canal. INFECTIONS OF THE VULVA, VAGINA AND CERVIX 29 HP ,/^ [K4- y \M s 1 n m ^9^^V ■ B 1 ^r^^^^ * ) taHM am 1 / m Fig. 17.—A Silkworm Gut Stitch Is Next Passed, as per Diagram, Through THE PORTIAL MUCOSA AND INTO THE CanAL. 17). This suture is left in situ for three or four weeks, or until thepatient returns for her follow up examination, after her discharge fromthe hospital. The chromic gut suturesto either side, which have thus far actedas traction sutures, are now tied, bring-ing the gaping outer angles of the conedincision together, and completely con
. Pelvic inflammation in women. ofTHE Canal. INFECTIONS OF THE VULVA, VAGINA AND CERVIX 29 HP ,/^ [K4- y \M s 1 n m ^9^^V ■ B 1 ^r^^^^ * ) taHM am 1 / m Fig. 17.—A Silkworm Gut Stitch Is Next Passed, as per Diagram, Through THE PORTIAL MUCOSA AND INTO THE CanAL. 17). This suture is left in situ for three or four weeks, or until thepatient returns for her follow up examination, after her discharge fromthe hospital. The chromic gut suturesto either side, which have thus far actedas traction sutures, are now tied, bring-ing the gaping outer angles of the conedincision together, and completely con-trolling hemorrhage. With all suturestied, six in number (Fig. 18), the opera-tion is complete, and a small strip ofiodoform gauze drain is placed againstthe cervical stump, which is removed intwenty-four hours. Objection has been raised to thisprocedure on the ground that it is tooextensive for such a simple lesion, and that it may cause cervical dystociaduring dilatation in subsequent labors. We have done this operation. Fig. 18.—When All StitchesAre Tied the Erosion Is Re-placed with Vaginal Mucosa. 30 PELVIC INFLAMMATION IN WOMEN for a sufficient time to form some definite conclusions as to its the first place, it cures the leukorrhea and hence improves the proba-bility of conception; second, a tracheloplasty of this type does notinterfere with normal dilatation during labor; third, relief of the focalinfection cures the posterior parametritis in the uterosacal ligaments,and cures the lumbosacral backache which is such a prominent symptomin chronic endocervicitis. CHAPTER II GONORRHEA General considerations regarding gonorrhea—Frequency of gonorrhea—Gonorrhealvulvitis—Condyloma acuminata—Urethritis and bartholinitis—Gonorrheal vaginitis—Cervical gonorrhea—Gonorrheal endometritis—Histology—Differential diagnosis—Histology of chronic endometritis—Pathology and histology of gonorrheal metri-tis—Gonorrheal inflammation of the fallopian tu
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