File:A text-book of gynaecological surgery (1911) (14578930307).jpg

Identifier: textbookofgynaec00berk (find matches)
Title: A text-book of gynaecological surgery
Year: 1911 (1910s)
Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953
Subjects: Gynecology Genitalia, Female
Publisher: New York : Funk and Wagnalls Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 167.—Securing the ovarico-pelvic ligament. was devised by Freund for prolapse of the uterus. It hasbeen highly praised by some authorities, but we havenot performed it sufficiently often to arrive at any con-clusive judgment as to its merits when compared withventro-suspension and perineoplasty for this condition.Preparation of the patient.—See pp. 82-84. 272 GYNAECOLOGICAL SURGERY Instruments.—Those for vaginal hysterectomy (p. 227); but eight pressure-forceps will suffice, and in addition silkworm-gut, shot and coil, and a shot compressor will be required. Operation.—The steps of the procedure are as follows :—i. Incising the anterior vaginal wall.—The procident uterus and vagina are pulled down with a volsella fixed
Text Appearing After Image:
Fig. 168.—Intervesico-vaginal fixation : Denuding theanterior vaginal wall. to the cervix, and the anterior vaginal wall is put upon thestretch. An oval area is delineated by two curved incisionsbeginning just under the urethra and terminating at thejunction of the vagina and cervix. The mucous membraneof the vagina corresponding to this area is now excisedand the base of the bladder exposed (Fig. 168). ii. Separating the bladder and opening the utero-vesical pouch.—The bladder is separated from the vaginal FIXATION OF UTERUS 273

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