A Hand-book of uterine therapeutics, and of diseases of women / by Edward John Tilt.

  • Tilt, Edward John, 1815-1893.
Date:
1869
Catalogue details

Licence: Public Domain Mark

Credit: A Hand-book of uterine therapeutics, and of diseases of women / by Edward John Tilt. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    of the vagina, drew this membrane over the stump, covering it completely, hut leaving an oval opening in the centre to correspond with that of the cervical canal. The parts united by the first in- tention, just as in a vesico-vaginal fistula; the wires were removed in eight or nine days; and the patient was soon on her way home, not having suffered the least inconvenience from the operation. Dr. Sims has operated thirty-three times by this method, and I be- lieve it is the plan now adopted by American surgeons. If the case be one of considerable elongation of one lip of the vaginal portion of the cervix, its amputation may be considered a safe operation. These cases, are, however, rare; in two, I have imitated Montgomery, and preferred to remove the redundant tissues by potassa caustica. Judging from Huguier's experience, the cases which would justify amputation are those in which the supra-vagi- nal portion of the cervix is elongated. It is then necessary to separate the cervix from the bladder by careful dissection, which endangers the perforation of the peritoneal cul-de-sacs, and might bring on fatal peritonitis; for these reasons the operation must be reserved for very exceptional cases. Further details may be found in Huguier's memoir; but I must remark that, instead of the knife, it is better to remove the dissected surface by the ecraseur, or, better still, by means of Maisonneuve's serre noeucl