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The success obtained essay community service by this operator his method, cystoplastie par glissement or autoplastic writing services canada vesico-vaginale par locomotion, a procedure first proposed Velpeau in attracted the attention all Europe.

From this time begins a rapid progress in the therapy urinary fistula.

One the first accept the method the French surgeon, and improve was Gustav Simon, then in Darmstadt, who had assisted Jobert in Paris at several his operations.

After him may mention Sims and Bozeman as the two Europeans who have carried the operative treatment fistula to Stolz in Strasburg first described the vesico-uterine fistula, Simon first mentions the uretero-vaginal fistula, and Berard in first mentions the uretero-uterine fistula.

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Finally, among the more recent and larger works upon this subject, are especially mentioned those Freund Bouque.

The latter has especially corrected the misapprehension that Marion Sims specially improved the method for the cure urinary fistulas since he was the first use the duckbill speculum expose and operate urinary fistula?. Bouque calls attention the fact that Dr.

Schuppertof New Orleans has proved that Sims speculum exactly like the speculum described Metzger in the Prager Vierteljahreschrift. For Metzger described a speculum as follows A silver vaginal dilator, consisting a guttered conical blade wide, whose lower turned outwards and an. inch long steel staff, fastened at a right angle the lower third, and provided for its length with a large wooden handle.

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Probably Metzgers invention remained unnoticed long because made no drawing At all events, since has been introduced there has been an important advance in the treatment urinary fistula, since renders possible complete private dissertation writers exposure the defect, and probably no fistula operated upon to-day without its help.

Thus a German and not Europeans belongs the credit this advance.

The Various Kinds Urinary Fistulce in Women. Beginning at the external urethral essay writing company reviews orifice, the following abnormal openings between the urinary passages need help writing a research paper and neighboring organs may occur Urethro vaginal fistula, always situated at the lower end of the anterior vaginal wall, and opening into the urethral tubercle.

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Examples have been recorded in the literature the last seven years by Aveling, Engelmann, Frissell ? Grune, Pean, Verneuil and Winckel.

Vesico-vaginal fistula, best essay editing service which may occur at any point in the posterior vaginal wall from the sphincter vesicae the fundus. If the upper border such a fistula lies against the cervix, called a superficial vesico-vaginal uterine fistula if pass through the anterior lip of the called a deep vesico-vaginal uterine fistula, both these latter If the bladder communicates with the vesical neck have a vesicouterine fistula. Ambrosio, Bozeman, Isenschmid, Lossen, Miiller, and Winckel have within recent times published examples this lesion. If the bladder has an abnormal communication with the rectum, forms a vesico-rectal fistula Heath if there an opening from the bladder into the small intestine, there a vesicointestinal fistula cases Krakowizer, Blanquique, and Valenta. Finally, if the urine exudes from an opening in the anterior bladder wall and the abdominal parietes, there is either a fistula the urachus page, or a cleft bladder See I. or a simple external vesical fistula. The ureters themselves may perforated, and may empty their secretions into neighboring organs. These urethral fistula not indeed belong strictly under diseases the bladder, but deserve mention among their complications. A ureteral fistula may open either in the vault of the vagina, uretero-vaginal fistula, or may open into the cervical cavity the uterus, uretero-uterine fistula cases Credo and Zweifel, or into the intestine, uretero-intestinal fistula, or outwards, external ureteral Here have best essay twelve different urinary fistulas occurring in females and See case Simon, which occurred after ovariotomy, and was cured by nephrectomy. may in addition have various combinations them.

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