. Operative gynecology. the Left Buoau Ligament REMOVED BY INCISING THE MESOSALPINX AND WITHOUT EITHER OvAKY OR TiBE. San. Nov 21, Size. 176 CONSERVATIVE OPERATIONS ON THE TUBES AND OVARIES. the cyst and bringing it outside and carefully distinguishing the position of thetube and the ovary, the opening into the mesosalpinx is enlarged, the cyst with-drawn, bleeding vessels secured and the peritoneal opening approximated, andthe whole dropped back again minus the tumor. In extra-uterine pregnancy there is no reason whatever for the sacrifice ofthe ovary in removing a
. Operative gynecology. the Left Buoau Ligament REMOVED BY INCISING THE MESOSALPINX AND WITHOUT EITHER OvAKY OR TiBE. San. Nov 21, Size. 176 CONSERVATIVE OPERATIONS ON THE TUBES AND OVARIES. the cyst and bringing it outside and carefully distinguishing the position of thetube and the ovary, the opening into the mesosalpinx is enlarged, the cyst with-drawn, bleeding vessels secured and the peritoneal opening approximated, andthe whole dropped back again minus the tumor. In extra-uterine pregnancy there is no reason whatever for the sacrifice ofthe ovary in removing a mutilated tube; Dr. J. Gr. Clark has allowed the ovaryto remain without any apparent disadvantage in a case operated upon at my clinic. In hystero-myomectomy, by tying off the uterine tube at the uterine cornuinstead of near the pelvic brim, the tube and ovary are both pushed down intothe pelvis and out of the way as soon as the top of the broad ligament is opened,when the rest of the enucleation is conducted as Fig. 359.—Parovarian Cyst extirpated without kemovinq either Tube or Ovary. The cap of peritoneum was left on by cuttiner through it on all sides and then shelling the tumor out ofits cellular investment. Note the additional cysts attached to the tumor on the right. San. Nov. 21, size. 2. Adherent Ovaries.—Ovarian adhesions (peri-oophoritis) may vary all theway from a delicate web between the ovary and the pelvic wall, scarcely appre-ciable to the touch, to a dense mass of lymph imbedding the ovary so com-pletely out of sight that it appears to be actually within the broad ligament(pseudo-intraligamentary). The lighter weblike and velamentous adhesions are easily broken up withthe fingers, or by exposing the adhesions and using the points of tlie scissors inconducting a careful dissection until the ovary is freed. In detaching a more firmly adherent ovary the best plan of procedure is totry to work the fingers in beneath it and so secure a purch
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
