File:A manual of gynæcology and pelvic surgery, for students and practitioners (1916) (14581018059).jpg

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Identifier: manualofgyncol00skeeuoft (find matches)
Title: A manual of gynæcology and pelvic surgery, for students and practitioners
Year: 1916 (1910s)
Authors: Skeel, Roland E., 1869-
Subjects: Gynecology Gynecology, Operative
Publisher: Philadelphia : P. Blakiston's Sons
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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Fig. 52.—Anterior colporrhaphy. Method B. Sutures adjusting broad edgesof flaps. Suturing is best done from behind forward contrary to illustration. Hirst adds to the usual anterior colporrhaphy two small areasof denudation, one at either side of the urethra, which are ofundoubted benefit. These are triangular in shape, the base ofthe triangle lying at the vulva while the apex is an inch higher 138 INJURIES TO THE PERINEUM AND PELVIC DIAPHRAGM up in the antero-lateral vaginal sulci. These are so closed thatthe line of sutures runs antero-posteriorly. Gersuny of Vienna adjusts a purse string suture in the
Text Appearing After Image:
Fig. 53.—Anterior colporrhaphy. Gersuny of Vienna adjusts a purse-stringsuture in posterior bladder wall. posterior bladder wall before suturing the vagina, so that thebase and posterior bladder wall are projected into the bladder inthe form of a cone. SECONDARY PERINEORRHAPHY 139 Incomplete Laceration, Perineorrhaphy.—The object to beobtained by secondary perineorrhaphy is such a restoration ofthe posterior segment of the pelvic floor as shall enable it toperform its physiological functions. Restoration to its originalanatomical condition by means of a secondary operation israrely possible, first, because the ends of the muscles have re-

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  • bookid:manualofgyncol00skeeuoft
  • bookyear:1916
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Skeel__Roland_E___1869_
  • booksubject:Gynecology
  • booksubject:Gynecology__Operative
  • bookpublisher:Philadelphia___P__Blakiston_s_Sons
  • bookcontributor:Gerstein___University_of_Toronto
  • booksponsor:University_of_Toronto
  • bookleafnumber:157
  • bookcollection:gerstein
  • bookcollection:toronto
  • bookcollection:medicalheritagelibrary
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28 July 2014

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