Circular Amputation of the Cervix 



637 



cosa from above about i/g to 14 inch lateralwards from the 

 previous suture, through the lateral margin of the endocer- 

 vix and out through the vaginal mucosa below at about % 

 to 14 inch laterward from the lateral inferior suture. Now 

 secure the lateral commissure of the vaginal wound with 

 tenaculum forceps and, by gentle traction, making the ten- 



FiG. 203 — Circular Amputation of Cervix Uteri. 

 Showing cervix after excision of both superior and inferior halves of 

 cervical body. Vaginal mucosal margins brought into apposition above 

 and below with the endocervix. Angular sutures at either side bring into 

 apposition the vaginal mucosa and the lateral margins of the endocervical 

 mucosa. On the left side the puckered vaginal mucosa is shown free from 

 its underlying support ; on the right it has been removed, leaving an oval 

 opening (9) in the mucous membrane. Vaginal sutures are shown on the 

 right side, each of which includes a small portion of paracervical tissue 

 along with vaginal mucosa. 7, utero cervical canal. 



