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Download or read book Glasgow Medical Journal, 1884, Vol. 22 (Classic Reprint) written by Glasgow and West Scotland M Association and published by Forgotten Books. This book was released on 2019-02-06 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from Glasgow Medical Journal, 1884, Vol. 22 The after-treatment was that usually followed in such cases. The vagina was washed out by injections of tepid boracic acid solution, but no examination of the parts was made till the twelfth day, when the wound appeared to be healed. By that time some Of the sutures had separated, while others still remained; these were not disturbed, but when a careful examination was made sixteen days after, the fistula was found to be completely closed. The second patient, Operated upon last summer (1883) was a young woman suffering from vesico - vaginal fistula. The only differences in the method of procedure in this case and the one just described were, that during the Operation the patient was placed on her face, in the knee-elbow position, and the flat blade of the forceps was, by rapid dilatation of the urethra, introduced into the bladder instead of, as in recto-vaginal fistula, into the rectum. The paring process was carried out in the same way as in the other case, the mucous membrane Of the bladder was carefully separated from that of the vagina, and the cut edges of these two layers were separately united by fine catgut sutures, while two stronger sutures were passed through both Of them as in the case of recto-vaginal fistula. Before the Operation the fistula was found, on vaginal examination, to be situated about half - an-inch below the os. The margins were slightly thickened, and the left one was ulcerated. The Opening, which was irregular in form, extended from above downwards for a distance of about three-quarters of an inch. From the rapid dilatation of the urethra, the patient was unable to retain urine for the first sixteen days, but this was rather an advantage than otherwise, as it pre vented any distention Of the bladder, and so gave the parts more perfect rest during the process of healing than if the urine had been allowed to collect, and as the incontinence ceased soon after the wound in the vaginal wall healed, no real inconvenience was caused the patient by the distention Of the urethra. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.