File:Pathology and treatment of diseases of women (1912) (14594922409).jpg

Identifier: pathologytreatme00mart (find matches)
Title: Pathology and treatment of diseases of women
Year: 1912 (1910s)
Authors: Martin, August Eduard, 1847- Jung, Ph. (Philipp Jacob), 1870-1918
Subjects: Gynecology Gynecology
Publisher: New York : Rebman company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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trusion. Fig. 59.—Colpotomia Anterior. Open-ing the plica vesico-uterina. Execution of Vagino-Fixation.—Position of the patient, see Figs. 33and 34 (pages 47 and 48). With a narrow vagina Schuchardts para-vaginal accessory incision. Abrasio mucosae corporis and cauterizationof cavum with liq. ferri perchlor. Continuous irrigation with sterilewater at 32° C. = 89.6° F. Stretching of the anterior vaginal wall bypulling down the portio vaginalis with Orthmanns sound forceps and 1 These figures are drawn after preparations on the operation phantom, shaving thevulva was consequently overlooked. PATHOLOGY OF THE VAGINA AND UTERUS 103 attaching a tenaculum forceps to the anterior wall about 2 to 3 cm beneaththe orificium urethrae externum. Incision of the vagina by a longitudi-nal cut, which is somewhat transverse at the anterior fornix. Dissec-tion of the vagina from the bladder, dissection of the bladder from thecervix with knife or scissors as far as dense connective tissue reaches,
Text Appearing After Image:
A& a? Fig. 60.—Colpotomia Anterior. then blunt exposure of the plica vesico-uterina (Fig. 58). If the con-nection of the bladder and the uterus is broader than usual, I attach atenaculum forceps to the upper part of the cervix, and after removal ofthe Orthmann forceps I bend down the uterus, so as better to stretch thispart and facilitate the blunt dissection. Opening of the plica which isdetached on both sides to the lateral uterine edges (Fig. 59). Thecorpus is brought into the vaginal opening by attaching the tenaculumforceps higher and higher, corresponding to its mobility. The fundus 104 DISEASES OF WOMEN glides before the vulva, after a vaginal retractor has been pushed beneaththe bladder into the excavatio vesico-uterina (Fig. 60). Examinationof the pelvic cavity by palpation and inspection. The tubes and ovariesare brought into view, in case they do not follow the corpus uteri, by tis-sue or tenaculum forceps and the use of gauze pads. Breaking up of adhesions, attending

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