Fig. 71.—Prolapse of the vagina and of the infra-vaginal cervix. The sound showed the internal uterine length to be 5½ inches. An erosion appears on the posterior margin of the os uteri.
Judgment, derived from experience, is necessary in choosing and performing the various plastic operations for prolapse of the uterus.
In every case of prolapse a certain degree of retroversion of the uterus is present. In fact, the uterus could not escape from the vagina unless the fundus were turned somewhat backward. The operation of ventro-fixation of the uterus is therefore a useful adjunct in some cases of uterine prolapse. The operation is not intended to furnish a mechanical support to the uterus, but only to keep it in a position of anteversion, so that it will less readily escape through the vaginal canal. The plastic operations and the ventro-suspension may all be done at the same sitting.
Fig. 72.—Amputation of the hypertrophied cervix: A. The cervix has been split laterally. B. The posterior lip is being amputated.
Fig. 73.—The posterior lip has been amputated.
Fig. 74.—A. Both lips have been amputated and the sutures have been introduced. B. The sutures have been secured by the perforated shot.
