Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Fig. 305.—Watkins Operation for Procidentia.Separating the bladder from the cervix by blunt dissection with scissors. 602 GYNECOLOGY The technic of the Watkins operation is as follows: The anterior lip of the cervix is grasped with traction forceps and drawnforcibly down to or out of the introitus. A transverse incision is made at thejunction of the bladder and the portio. The ends of the incision are graspedwith pressure-forceps and held taut. The end of a pair of scissors, closed, isthen inserted in the wound and forced upward toward the meatus, in the plane
Text Appearing After Image:
.^>.es. Fig. 306.—Watkins Operation for Procidentia.The fundus has been delivered beneath the bladder. The crown stitch has been applied. of cleavage between the bladder and anterior vaginal wall (Fig. 304). Whenthe level of the urethra is reached the scissors are opened and withdrawn, thuscreating an area of separation of bladder and vagina, the amount of whichvaries according to the size of the cystocele and the amount of adherence be-tween the two layers of tissue. In performing this part of the operation thereis considerable danger of injuring the bladder. This must be guarded against OPERATIONS FOR UTERINE MALPOSITION 603 by gentle manipulation of the tissues. When the bladder and vagina have beenseparated, the anterior vaginal wall is incised along the median line and theedges of the flaps caught with pressure forceps. The flaps are then strippedfurther back by blunt dissection. The amount of stripping of these flaps shouldbe only enough to cover the anterior

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