Gynaecology for students and practitioners . Fig. 502 Knives for VesicoVaginal Fig. 503. Operation eor Vesico-Vaginal Fistula. The edges hayebee:i rawed, and the sutures introduced so as to include all the tissuesexcept the mucous membrane of the bladder. irrigation, or by forcipressure, before the ligatures are tied. The rawededges of the bladder-mucosa are thus brought into apposition but arenot included in the stitches {see Fig. 503). Chromicizecl catgut is thebest suture-material to employ. The fault of this operation is that the PLASTIC OPERATIONS 829 edges of the fistula are he
Gynaecology for students and practitioners . Fig. 502 Knives for VesicoVaginal Fig. 503. Operation eor Vesico-Vaginal Fistula. The edges hayebee:i rawed, and the sutures introduced so as to include all the tissuesexcept the mucous membrane of the bladder. irrigation, or by forcipressure, before the ligatures are tied. The rawededges of the bladder-mucosa are thus brought into apposition but arenot included in the stitches {see Fig. 503). Chromicizecl catgut is thebest suture-material to employ. The fault of this operation is that the PLASTIC OPERATIONS 829 edges of the fistula are held together under considerable tension, acondition unfavourable for healing by primary union. (6) In the flap-splitting operation an incision is made all roundthe fistula, cutting through the vaginal wall alone ; from this incisiontwo short longitudinal incisions are carried, one upwards towards the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
