File:The diagnosis and treatment of diseases of women (1907) (14597942290).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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direction of cutting maybe varied as found most convenient. When the surface-covering has been com-pletely removed, the area has approximately the appearance shown in Fig. 507. The next step is to make the deep excision of tissue in the outer side of eachsulcus. This is to remove the principal part of the scar-tissue and other connectivetissue lying between the torn ends of the pelvic sling, so that when the deep suturesare passed and tied, the torn portions of the sling may be brought together. Thereason for the deep excision of tissue is shown in Fig. 504. 486 LACERATIONS AND FISTULA It is carried out by grasping the tissues firmly in the lateral portion of the denudedarea and drawing them out so that they may be clipped off with the scissors, asindicated in Fig. 505. In this illustration the handle of the scissors should bebrought farther to the front, so that the points would cut more deeply into the lat-eral tissues. One or more thick strips of tissue are removed from the region,
Text Appearing After Image:
Fig. 503. Emmets Operation. Diagramm.atic representationof liow the mucosa is removed in strips, by following the linesof tension. (Gilliam—Practical GynecoLugy.) enough to accomplish approximately the object explained in Fig. 504, and thensimilar strips are removed from the opposite side. This excision of deep tissue causes free bleeding, but the bleeding vessels arecaught with artery forceps and later included in the deep sutures. Care must be taken in the excision of tissue and in passing the deep sutures thatthe rectum is not injured. Keep well to the lateral regions of the pelvis and awayfrom the rectum. THE EXCISION OF DEEP TISSUES 487 The removal of the intervening tissue and the approximation of the separatedends of the pelvic sling are accomplished more or less perfectly as the operation ismore or less perfectly carried out. The fact that the sling is really shortened andthe pelvic floor accordingly restored, can be demonstrated by making a digitalexamination at the complet

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