File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14765159731).jpg

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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

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d a half transversely, thus openingthe cervico-vesical cellular tissue. With the fingers or ablunt instrument separate the bladder from the uterus,using the scissors where scar tissue is too firm to be torn,until you have got above the fistula. The hole in the bladderand that in the cervix will be visible. As the tissues areraw, no paring is required. Stitch the margins of the vesicalfistula together, turning the mucous surface inwards, as de-scribed in the foregoing paragraphs. Let the hole in thecervix alone. Other methods of operation.—Mr. Stanmore Bishopfhas devised an ingenious method of closing vesico-vaginalfistula. He dissects up the mucous membrane of the bladder * Obst. Trans., vol. xxx.f Lancet, June 19th, 1897. 702 DISEASES OF WOMEN. round the fistula to a distance sufficient to allow the mucousmembrane to be dragged into the hole far enough to fill it up.Then he unites its opposite edges by temporary ligatures(Figs. 186, 187), which are then seized by forceps introduced
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Fig. 190. —Stanmore Bishops operation for vesico-vaginal fistula. Stitching completeand temporary sutures withdrawn. through the urethra, and pulled into the bladder (Figs. 188,189). Thus the raw surfaces of the stripped-ofY mucousmembrane are brought into contact, and the operator thenstitches them together (Figs. 190, 191). This method hasnot yet, so far as I know, been practisedby others. Some operators have openedthe bladder above the pubes, and paredand stitched the margins of the fistula fromabove. This method may be useful whenscar tissue so contracts the vagina thatthe fistula is difficult to get at from below.Treatment of congenital defects.—Iknow not of any surgical treatment that will cure hypo-spadias. The pressure of a pad is here the only way to

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  • bookid:diseasesofwomenc00herm
  • bookyear:1899
  • bookdecade:1890
  • bookcentury:1800
  • bookauthor:Herman__G__Ernest__George_Ernest___1849_1914
  • booksubject:Women
  • bookpublisher:New_York__W__Wood___Co_
  • bookcontributor:Yale_University__Cushing_Whitney_Medical_Library
  • booksponsor:Open_Knowledge_Commons_and_Yale_University__Cushing_Whitney_Medical_Library
  • bookleafnumber:722
  • bookcollection:medicalheritagelibrary
  • bookcollection:cushingwhitneymedicallibrary
  • bookcollection:americana
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28 July 2014

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