The practice of surgery . Fig. 224.—Rectovaginalgramma tic). fistula (dia- Fig. 225.—Repair of rectovaginal operation (after Dudley). which is similar in principle to the foregoing. Having carefully refreshedthe edges of the fistula, split the vaginal mucosa longitudinally at eitherend of the fistula, and thus turn back liberal vaginal flaps. By thismeans the rectal wall, with its fistulous opening, is exposed. Then sewup the rectal wall with catgut stitches, and complete the operation bydrawing over it independently the refreshed vaginal flaps, which mustcarefully be sutur
The practice of surgery . Fig. 224.—Rectovaginalgramma tic). fistula (dia- Fig. 225.—Repair of rectovaginal operation (after Dudley). which is similar in principle to the foregoing. Having carefully refreshedthe edges of the fistula, split the vaginal mucosa longitudinally at eitherend of the fistula, and thus turn back liberal vaginal flaps. By thismeans the rectal wall, with its fistulous opening, is exposed. Then sewup the rectal wall with catgut stitches, and complete the operation bydrawing over it independently the refreshed vaginal flaps, which mustcarefully be sutured into place. Noble quotes with approval Dudleys ingenious operation for repairof rectovaginal fistula opening high in the vagina.^ B}^ this operationthe rectum is dissected free from the surrounding tissues by the surgeonworking through the anus. Having freed the rectum up to and beyondthe fistula, the operator then pulls the gut outside of the sphincter untilthe rectal fistula is exposed. He then cuts off the bowel
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
