A Treatise on Vesico-Vaginal Fistula

A Treatise on Vesico-Vaginal Fistula

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1866 edition. Excerpt: ... discharged by the natural outlet. When examined, the entrance of the vagina was found to be occupied by the inverted bladder, protruding beyond the labia majora. Here the same phenomenon respecting the action of the ureters, as described in Case X, was observed. The mucous membrane of the bladder was in a high state of hyperjemia. After the bladder had been reduced, three fingers could without difficulty enter the fistula. At the fundus of the vagina, and to the left, were the rudiments of the neck of the uterus, forming two small fleshy tumors, with an opening between them leading to the cavity of the uterus. The fistula occupied the greater part of the vesico vaginal septum, extending over the neck of the bladder; the lower border was 25"""from the orifice of the urethra, the upper border running close to and partially beneath the uterine fragments. On the 13th of February, chloroform was administered, which produced a severe kind of trismus. In order to retain the bladder in its proper position, sponges were introduced through the rent in the bladder--a method I have found useful in such cases, as it obviates the necessity of employing an assistant to keep the bladder depressed during the vivifying of the edges of the fistula, which latter process is also greatly facilitated by it. In denuding the edges of the opening, considerable bleeding happened. The fistula was closed by eleven twisted silver wire sutures. On account of a portion of the upper border of the fistula, lying beneath the uterine fragments, I was obliged to insert two sutures through it, but on attempting to twist them they cut through the tissues. By inserting the needle higher up, so as to include a larger portion of the bladder in the sutures, this...show more

Product details

  • Paperback | 28 pages
  • 189 x 246 x 2mm | 68g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236888987
  • 9781236888983