File:Gynecology - (1918) (14750530316).jpg

Identifier: gynecologygrav (find matches)
Title: Gynecology :
Year: 1918 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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:
nd bladder walls. by blunt dissection with the finger, though occasional tissue fibers require cuttingwith scissors. Gauze should not be employed as it increases the danger of in-juring the bladder. All bleeding points should be controlled at once and tied.The separation is carried out well down on the sides of the cystocele. Theurethra in its upper third at the base of the bladder should be thoroughly exposed.In stripping the vagina from the bladder care should be taken to leave the thin OPERATIONS ON THE VAGINA 619 aponeurotic membrane which will be found investing the bladder. This will beseen to be slender and attenuated at the center of the cystocele, but strong andwell marked on the sides. The next step is a technical maneuver introduced byJ. G. Clark, which is designed to control the functional incontinence from whichmany patients with cystocele suffer to a greater or less extent. Two mattresssutures of No. 1 catgut are placed well up into the angles on the sides of the urethra
Text Appearing After Image:
Vl^.Gr—• Fig. 259.—Anterior Colpgplasty (ClarksTechnic).The mattress sutures have been tied. Theexcess of vaginal mucous membrane is beingtrimmed away.

Note About Images