of the v»K¡na Bhowing pinholo opening \vlu;re the septum had boon i noised for tin1 relief of symptoms fit the time of puberty. Fia. ;í. Operation for oongenital absence of the vagina, The four flaps taken from the labia minora and the thighs aro approximated over a glass form. The WOUnda where the flaps were removed are represented as sewed up with interrupted sutures. The pouch made by the four Baps is turned into the opening previously made by separating the bladder from the rectum. Fia, 2.

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... peration for acquired atresia ol the vagina. The transverse septum has been disseotod out, and the upper portion of the mucous membrane of the vagina united to the lower by interrupted catgut sutures. Fin. t. Operation for congenital absence of vagina, The glass form ha* been removed and the seams of the pouch completely Bewed. Th« untied sutures seen issuing from the pouch were proviously passed throuKlu the vault of the artificial opening made between the bladder and rectum« The pouch is inverted into the artificial opening and the stitches tied mi as to prevent any prolapse of (lie pouch before it heals to the raw Purfned of the opening.