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Updated: June 11, 2025
Houghton speaks of a girl of twenty-five into whose vagina it was impossible to pass the tip of the first finger on account of the dense cicatricial membrane in the orifice, but who gave birth, with comparative ease, to a child at full term, the only interference necessary being a few slight incisions to permit the passage of the head.
The relief of tension which follows the bursting of an abscess, the removal of irritation by the escape of pus, and the casting off of bacteria and toxins, allow the tissues once more to assert themselves, and a process of repair sets in. The walls of the abscess fall in; granulation tissue grows into the space and gradually fills it; and later this is replaced by cicatricial tissue.
Reverdin originated the procedure of epidermic grafting. Small grafts the size of a pin-head doing quite as well as large ones. Unfortunately but little diminution of the cicatricial contraction is effected by Reverdin's method.
Gastrotomy we have already spoken of. Pyloroplasty is an operation devised by Heineke and Mikulicz, and is designed to remove the mechanic obstruction in cicatricial stenoses of the pylorus, at the same time creating a new pylorus.
If disfigurement is likely to follow from cicatricial contraction for example, in a sinus over the lower jaw associated with a carious tooth the sinus should be excised and the raw surfaces approximated with stitches. The tuberculous sinus is described under Tuberculosis. A #fistula# is an abnormal canal passing from a mucous surface to the skin or to another mucous surface.
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