File:Pathology and treatment of diseases of women (1912) (14594943899).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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. Fig. 76.—Colporrhaphia Posterior (A. Martin). Incision of the left lateral fold of the vagina. ring. After this I make an incision on one side along the edge of thecolumna down to the lower end, and then from the upper end of this cutto the outer one through the folds of the lateral vaginal walls down to thecorresponding bullet-forceps. The lateral circumcised flap of vaginal PATHOLOGY OF THE VAGINA AND UTERUS 127 mucous membrane is dissected out. The wound-surface is immediatelyfirmly brought together by a continuous catgut stitch (Fig. 77). Thesame procedure is repeated on the other side. The bullet-forceps areremoved, the elythrorrhaphy is finished. One must, in suturing, see to it that the columna is shortened in itslongitudinal diameter at the same time that it is fixed to the lateral
Text Appearing After Image:
Fig. 77.—Colporrhaphia Posterior (A Martin). Incision of the rightlateral fold after suturing the left one. vaginal walls. One attains this by having the stitches closer together inthe lateral wound margin than in the columna. The perineauxesis is then begun by incising transversely the columnarugarum posterior from the lower ends of the elythrorrhaphy incision.The incision is carried laterally to about the lower edges of the nymphas 128 DISEASES OF WOMEN into the vulva (Fig. 78). Finally, the introitus is incised at the termi-nation of the pronaus, so that this incision reaches the other at thetermination of the nymphae. The tissues thus circumscribed are fresh-ened, smoothed, and sutured. The stitches unite first the incisions in the lateral vaginal walls witheach other. Correspondingly strong sutures are introduced in the lateral

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