The Functions of the Thyroid Gland

JAMES YOUNG SIMPSON
1886 Boston Medical and Surgical Journal  
closing the perinamrn ; but, as the uterus was not heavy, it was finally decided to make a more extensive denudation of the posterior wall and practically close the vagina, in the belief that in this way efficicient support would be given to the anterior wall and subsequent prolapse prevented. The denudation was therefore carried well up on the sides of the vagina and to Douglas's cul-de-sac posteriorly : the wound was closed with silver sutures and dressed with iodoform by insufflation. The
more » ... nsufflation. The vagina would not admit the index finger. The patient was comfortable after the operation, having scarcely any pain or constitutional disturbance: the temperature was normal on the third day. The next day, however, there was pain in the right labium, and a small abscess formed : this was opened externally and in no way interfered with the success of the operation. The stitches were removed on the ninth day, altid two weeks later the patient was allowed to sit up and begin to walk about. Examination showed that perfect union had taken place and that the vagina would admit only a large-sized lead pencil. The general condition was excellent, and the patient returned to her family in just a month from the time of beginning treatment. About five months later Mrs. C. returned for in-
doi:10.1056/nejm188612301152603 fatcat:e534nt2xyjbf5klvkib542bfje