Vaginal Hysterotomy for removing uterine tumors and polypi

Gyn Utr Ligators - Vaginal Hysterotomy for removing uterine tumors and polypi.png
Gyn Utr Ligators - Vaginal Hysterotomy for removing uterine tumors and polypi.png

Vaginal Hysterotomy for removing uterine tumors and polypi

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“In cases of sessile fibromyomatous polyps ‘vaginal hysterotomy’ should be performed.  Accordingly, a transverse incision of the length required is made through the mucous membrane at the level of reflection from the anterior lip of the cervix.  The bladder is next pushed away from the supravaginal cervix until the utero-vesical peritoneal pouch is reached.  The uterine cavity is now opened by dividing the anterior wall in the midline.  In this way the interior of the uterus can be thoroughly investigated and conditions properly dealt with.  At the end of the operation the uterus is closed with catgut sutures and the vaginal mucosa sutured in position.”   - 1910, Blair Bell, Principles of Gynecology.

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