Identifier: tristatemedicalj2189ball (find matches)
Title: Tri-State medical journal
Year: 1895 (1890s)
Authors: Ball, James Moores, 1863-1929
Subjects: Tri-State Medical Society Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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d on the ninth day, under an anaesthetic, andt hough the wound had granulated nicely, there was still a slight opening through which a small amount of urine was excreted. In four weeks from the time of operation, the patient, in a fairly good condition, returned to her home to wait a few months for new tissue to generate for use in the next operation. April 16th, 1895, she came to the Sanitarium for the second operation, which was performed on the 21st. The flaps were obtained in about the same way as before, and united, as pre- Original Articles. 327 viously, and dressed. The next step was Trachelorraphy, which consisted in cutting with Skenes duck-bill scissors the scar tissue which hadjoined in the bi-lateral lacerations of the cervix and stitching together thelips with strong catgut ligature. The next procedure was to suture therectal tear and perform colpoperineoplasty, which was performed in the following manner: With my left index digital in the rectum and the scissors in my right
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FIGURE 6. Cut number six represents the field of denudation brought together bv tving the great primar yshowing how much is accomplished by this one thread. The operation is completed by knotting the silk worm gut sutures, cleansing and drying the partsand dropping over the wouud twenty or thirty drops of elastic iodoformized collodium. This dressingheimetically closes the wound and ordinarily will remain so for eight or nine days, when the stichesare removed and perfect union is almost always obtained. hand, I make a deep incision from \ inch to f inch, entirely through thelabium major on both sides, cutting entirely through the vaginal tissues,then from one incision to the other a superficial incision is made upon theposterior vaginal wall as far up as the cicatricial tissue extends—then de-nude the surface of all the scar tissue, posterior to the rectum. To close the rectal tear I use a short curved needle armed with catgut, 328 Perineo-Plasty-Mayfield. and as Emmet suggests, put

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