Excerpt from The Obstetrical Journal of Great Britain and Ireland, Vol. 4: April-December, 1876
Among the most earnest, unwearying, and successful improvers of the operation for vesico-vaginal fistula must be reckoned Bozeman, who published his first paper, containing four cases of cure by means of a newly devised suture, in the year 1856. Upon this followed a longer paper, in the year 1857, communicating improvements in the mode of opera tion, and fifteen successful cases, mostly of a severe kind. In order to bring his mode of operation to perfection, he did not shrink from a journey across the ocean, after which, in a paper dated 1860, he reported a series of successful operations performed in London, Edinburgh, Glasgow, and Paris, in the presence of the most distinguished specialists of those cities. On his journey he Visited Heidelberg, and performed several operations in the wards of Prof. Simon. In which he won the applause of the German professor.
Thence he came to Vienna, and Prof. Braun handed over to him three of the most difficult cases, and one of an easier kind. He remained almost three months, and cured all four women without having to repeat the Operation in any case. I had the opportunity on this occasion of becoming thoroughly acquainted with his mode of procedure, and I think that I can make him no better return than that of publishing the cases.
After this short retrospect I will enter on the description of Bozeman's mode of operating. In my opinion an im portant condition for success is to be found in the prepara tory treatment, which Bozeman was one of the first to adopt, and of which Emmet, the renowned surgeon of the New York Hospital for Women, who can show fully a hundred cases of cure, justly says, that in this lies the secret of success, and that the most skilfully performed operation may fail if it be omitted. This preparatory treatment consists in the methodical dilatation of the vagina by the glass dilator employed by Sims.
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