A Text-Book of the Diseases of Women

Cover A Text-Book of the Diseases of Women
A Text-Book of the Diseases of Women
Henry Jacques Garrigues
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c g, and then incisions made through mucous membrane along the lines hfb and g ed. The two lateral flaps formed in this way were dissected free, and by so doing the nymphse were split from their posterior aspect and unfolded. The posterior flap, represented by the surface enclosed between the letters d e / 6, was formed by dissecting deeply the tissues of the fourchette and perineum, so that this flap could be dragged upward and inward to cover the posterior surface of the new vagina. The strip
... of mucous mem- brane that had been the posterior half of the rudimentary vagina was dissected away, and the posterior flap anchored by suturing its tip at the uppermost part of the new vagina with a catgut stitch.
In the same manner the two lateral flaps were disposed of. The little strip of mucous membrane on the anterior wall was utilized by stitching the lateral flaps to its edges. The operation was com- pleted by sewing together the edges of the mucous membrane and the stumps of the nymphse and at the places where the three flaps came into apposition, with fine interrupted sutures of catgut.


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