Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Fig. 267.—An Operation for Absence of the Vagina (Authors Method).An artificial opening has been made between bladder and rectum, corresponding to the size of anormal vagina. Four skin-flaps have been sewed together over an old-fashioned glass speculum in-verted. The two upper flaps are the two labia minora partially amputated and spread out flat. Thetwo lower flaps are turned in from the thigh. The sewing of the seams is not completed until afterthe glass form has been removed and supporting stitches placed in the vault of the new vaginalopening. OPERATIONS ON THE VAGINA 569
Text Appearing After Image:
Fig. 268.—Operation for Congenital Absence of Vagina. The glass form has been removed and the seams of the pouch completely sewed. The untied sutures seen issuing from the pouch were previously passed through the vault of the artificial opening made between the bladder and rectum. The pouch is inverted into the artificial opening and the stitches tied so as to prevent any prolapse of the pouch before it heals to the raw surface of the opening. are then sewed together over a glass form, as shown in the cut (Fig. 267). Beforethe flaps are sewed together several catgut sutures, with the ends left long, 570 GYNECOLOGY should be placed in the vault of the artificial cavity. When the skin pouchhas been nearly completed, the glass form is removed and the catgut sutures arebrought out through the skin pouch. The pouch is then inverted, and thesutures are tied in such a manner that the pouch fits snugly into the artificialcavity. Schuberts Operation for Absence of Vagina Schubert has devised

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