A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . FIG. 4955.—Dpmidlng Fig. 4956.—Denuding with Knife. Fig. —Sims Tampon Extractor, with closed and open screws. (Alter Mund^.) Sims speculum, long-handled left and right curvedscissors (Emmets cervix scissors are usually sufficient),a .long-handled knife with narrow blade, two or threetenacula, needles and needle-holder, counter-pressurehook and fork, twisted silk for carrying No. 37 or 28 strip of tissue encircle the entire fistula without cuttin
A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . FIG. 4955.—Dpmidlng Fig. 4956.—Denuding with Knife. Fig. —Sims Tampon Extractor, with closed and open screws. (Alter Mund^.) Sims speculum, long-handled left and right curvedscissors (Emmets cervix scissors are usually sufficient),a .long-handled knife with narrow blade, two or threetenacula, needles and needle-holder, counter-pressurehook and fork, twisted silk for carrying No. 37 or 28 strip of tissue encircle the entire fistula without cuttingor breaking it. Then 3ou are sure of obtaining a per-fectly clean surface. When the vesical mucous mem-brane is included in this denudation there is apt to betroublesome liemorrhage. Sims therefore advised thatthis be carefully avoided; the incision taking the direc-tion of the dotted lines, as in Fig. 4957, a being the vesi-cal mucous membrane and b the vaginal. If the removalof one strip gives a surface wide enough to afford firmunion, the wound is ready for the sutures. Ordinarily,however, it is necessaiy to take off a second or third stripoutside th
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Keywords: ., bookauthorbuckalberthalberthenr, bookcentury1900, bookdecade1900
