. The Principles and practice of gynecology : for students and practitioners. Removal of uterine appendages, final step. Showing the glovers stitch and the method of introduction. special technique to meet the varied conditions turn upon the presenceor absence of pus or of adhesions. Technique in Pus Cases.—Although the pus in chronic pyosalpinxis usually sterile, it is not always so; hence it is safer to proceed onthe supposition that all pus or other fluid is infectious, and, if possible,therefore to enucleate the sac without breaking it. Aspiration of apart of the fluid from a very tense tu
. The Principles and practice of gynecology : for students and practitioners. Removal of uterine appendages, final step. Showing the glovers stitch and the method of introduction. special technique to meet the varied conditions turn upon the presenceor absence of pus or of adhesions. Technique in Pus Cases.—Although the pus in chronic pyosalpinxis usually sterile, it is not always so; hence it is safer to proceed onthe supposition that all pus or other fluid is infectious, and, if possible,therefore to enucleate the sac without breaking it. Aspiration of apart of the fluid from a very tense tube may decrease the risk ofrupture. Contact of the pus of a ruptured tube with the peritoneummay have no serious results, for: 1. The fluid may be sterile, and therefore innocent. 2. Even though infectious, if thoroughly washed out with normalsalt solution (Chapter YII.), the residue of septic matter, now much SURGICAL TREATMENT OF SALPINGITIS. Fi(iruK IJS. 291. Authors operation, closure of wound in broad ligament after removal of uterine appen-dages, first step. Traction by two hsemostatic forceps on the ends of the broad ligament woundand by a tenaculum on the centre of the wound show how the wound is to be folded uponitself and closed; needle introduced to show where the continuous suture is to be placed forclosure of the wound. diluted, may be taken up by the peritoneum and thrown off by theorgans of elimination. The capacity of the peritoneum to absorb andthrow off such matter is sometimes very great. The conditions, how- FlGURE 129.
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