File:Diseases of women; a text-book for students and practitioners (1898) (14762013651).jpg

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Identifier: diseasesofwoment00webs (find matches)
Title: Diseases of women; a text-book for students and practitioners
Year: 1898 (1890s)
Authors: Webster, John Clarence, 1863-1950
Subjects: Genital Diseases, Female
Publisher: Edinburgh, Pentland
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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theapex of a tear in the cervix there is an opening into thebladder. These may be closed simply by making a raw surfacearound the fistula, and closing it with continuous catgut.To get a complete exposure of the opening it may benecessary to split the cervix at some point. This method may not be successful if the fistula bedifficult of access, and it does not leave the woman freefrom danger of reopening at another confinement. It istherefore better to employ the operation used in the treat-ment of utero-vesical fistula, next to be described. 6. Utero-vesical fistulae.—For these there can be nodoubt that the following method is the best. A transverseincision is made in the anterior fornix, and the bladder CRN I TO- URTNA R Y FIS TUL A. (^11 separated from the cervix as far up as is necessary to allowthe fistulous tract to be well exposed. The vesical and cervical portions of the tract are thenclosed separately with catgut sutures. Afterwards, thewound in the anterior fornix is closed.
Text Appearing After Image:
Fig. 240.—Kolpokleisis. The diagram represents the applicationof the sutures after the raw surfaces are made. This method was first employed in England by Champ-neys, but it has also been used successfully abroad byFollet, Wolfler, Winternitz, and others. All these operations should be preceded by the mostthorough disinfection of the mucosa of bladder, vagina,and uterus; the strictest antiseptic precautions being ob-served during the operation. Catgut is sufficient for all sutures, Listers chromic gut,Nos. 2 and 3, being serviceable; it should, however, bethoroughly soaked in carbolic lotion (i to 20) before use.The best needles are Martins small full-curved variety; hissimple needle-holder is also the best. 634 AFFECTIONS OF THE URETHRA AND BLADDER. After the operation it is probably best to drain thebladder, per urethram, by a soft metal catheter. Oneshould be used at night and another during the day, theunemployed one being kept in an antiseptic lotion. Thecatheter must be passed

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  • bookid:diseasesofwoment00webs
  • bookyear:1898
  • bookdecade:1890
  • bookcentury:1800
  • bookauthor:Webster__John_Clarence__1863_1950
  • booksubject:Genital_Diseases__Female
  • bookpublisher:Edinburgh__Pentland
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:659
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
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28 July 2014

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