On the question of vaginal extirpation of the uterus

Abstract

T. proposes for those cases of vaginal extirpation, where the vagina is very narrow and the uterus cannot be brought down ad introitum due to cicatricial or cancerous fixations, to make lateral incisions of the vagina and perineum, while the large and small lips are cut near their middle, the vaginal incision can be brought to the fornix, and on the perineum, make an incision outward and somewhat posteriorly of the corresponding size for this case.