632 



Diseases of the Genital Organs 



cauliflower cervix) and of endocervicitis too extensive to be 

 handled by the mere excision of a prolapsed fold. 



The cervix is retracted into the vaginal introitus and 

 seized with a strong pair of vulsellum forceps with one jaw 

 passed deeply into the cervical canal, or, more satisfactorily, 

 with a specially constructed forceps (Fig. 200 a, 2) , one jaw 

 having double tenaculae and the other tongue-shaped so that 

 it may be passed deeply into the canal without injury. The 

 cervix is freely exposed by the use of retractors and extra 

 vulsellum and tenaculum forceps which hold aside the vulvar 



Fig. 200— Circular Amputation of Cervix Uteri. 



The vaginal mucosa has been dissected from and drawn forward over 



cervical core, j, Ectropic first annular fold ; 5, exposed fibro- 



muscular tissue of cervical core. 



