. Atlas and epitome of gynecology . t necessarily shortens the anterior vaginalwall by approximating the meatus and cervix, and thustends to retrovert the uterus.—Ed.] posterior colporrhaphyof G. Simon, Hegar, Bischoff, Martin, v. Winckel, Fritsch,Xeugebauer, Kehrer, either by excising a triangular pieceof mucous membrane, the base corresponding to the peri-neum, or by excising pieces of irregular outline and re-moving so much of the lateral wall that the posterior wallis narrowed and the perineum raised. Posterior colpor-rhaphy is also combined with plastic operations on theperineum—colpoperi
. Atlas and epitome of gynecology . t necessarily shortens the anterior vaginalwall by approximating the meatus and cervix, and thustends to retrovert the uterus.—Ed.] posterior colporrhaphyof G. Simon, Hegar, Bischoff, Martin, v. Winckel, Fritsch,Xeugebauer, Kehrer, either by excising a triangular pieceof mucous membrane, the base corresponding to the peri-neum, or by excising pieces of irregular outline and re-moving so much of the lateral wall that the posterior wallis narrowed and the perineum raised. Posterior colpor-rhaphy is also combined with plastic operations on theperineum—colpoperineauxesis (Hegar, Kaltenbach) or col-poperineoplasty (Bischoff). [The anatomic and physio-logic principles embraced by Emmets colpoperineorrhaphyhave been so thoroughly appreciated by American sur-geons that Emmets operation is usually chosen to theexclusion of all others.—Ed.] These operations should bemost carefully planned and carried out. The portions tobe excised are first outlined, then removed, the edges of the Tab. - /: LUh. Anst E Revchhold, Miinchen. TREATMENT. 69 wound freely loosened up, and the sutures accuratelyplaced. Considerable experience is necessary to enable theoperator to remove neither too much nor too little the operation is completed, the vulva should notgape, and the vaginal walls should be well supported by
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