File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14745319946).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
dividedand turned into the vagina. It is then stitched to theraw surface of the cervix, the skin surface of the flap beingtowards the vagina, and the adjacent edges of the two flapsare also for a little way stitched together. The stitches areremoved at the end of three weeks. After the fortieth day theposterior attachments of the skin flaps are gradually divided,a little bit being cut through each day, so that the dividedvessels may gradually have their place taken by enlargementof collateral vessels. When at length the division is complete,there is a flap of skin in the vagina, hanging to, and receivingits vascular supply from, the cervix uteri. The next thing isto pare the edges of the fistula, and sew this flap of skin tothem. When the sutures are taken out, there may be small INCONTINENCE OF URINE. 699 gaps where union is not quite perfect, but these, if left forsome weeks, will gradually diminish in size, or quite close.If, when no further contraction can be expected, small holes
Text Appearing After Image:
Fig. 186.—Stanmore Bishops operation for vesico-vaginal fistula. Mucous membraneof bladder separated ; temporary sutures put in; forceps in urethra to seizethem. still remain, they can be closed by paring and stitching theiredges. The hairs on the skin, when it is thus turned into thevagina, disappear. This method of closure is difficult, protracted, and painful,but I believe, if properly done, curesthe patient. I have never done it,nor seen it done. Colpocleisis (koXttos, the vagina;Kkeiais, a shutting up).—If all at-tempts at repairing the vesico-vaginal septum fail, or if this seemsimpossible, as when there has beensloughing of the whole upper part of the vagina and thecervix uteri, so that the vagina has become a funnel leading toa hole not big enough to admit the finger, the only resource

Note About Images