Vesico-Vaginal Fistula from Parturition and Other Causes
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Vesico-Vaginal Fistula from Parturition and Other Causes

Vesico-Vaginal Fistula from Parturition and Other Causes


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1868 edition. Excerpt: ...side of the cervix to the posterior lip, and to each angle of the fistula. The vagina was shortened, from contraction of these bands, to an inch and a half in depth. The opening was crescentic in shape, with the concavity toward the uterus, and although the edges of the fistula were but a few lines apart, they were almost immovable. March 24. The bands in the cul-de-sac were freely divided wherever any degree of tension was felt by the index finger, introduced as a guide to put the parts on the stretch. The cicatricial surface was also divided on each side, just outside of the angles of the fistula, and prolonged somewhat anterior to each, in a line extending from the cervix uteri to the vaginal sulcus. The cervix uteri, in addition, was incised laterally to the vaginal junction. This preparatory operation was performed entirely with the scissors, and the bleeding, consequently, was slight. As the patient was very nervous, it became necessary to administer ether before the operation could be completed. With the cul-de-sac now freely opened to its natural depth, a glass plug three inches long was introduced and retained by a T bandage, for the purpose of keeping the canal on the stretch while the divided surfaces were healing. April 18. Operation. The surfaces had now become well healed, and, through the modifying effect of pressure on the cicatricial tissue, the vaginal parietes were soft and yielding. The edges of the fistula were scarified and secured by sixteen interrupted sutures. The line was crescentic, conforming to the curve of the anterior lip of the uterus but its arc became greater than before, in consequence of the tension being freed at the angles. Two sutures, just at the neck of the bladder, parted while twisting, from the bad...


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Product Details
  • ISBN-13: 9781150322884
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 76
  • Spine Width: 4 mm
  • Width: 189 mm
  • ISBN-10: 1150322888
  • Publisher Date: 01 Jun 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 154 gr


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