. A new manual of surgery, civil and military. order to obtain a good floor of the pelvis which will prevent prolapseof the stump we suture the ends of the broad ligaments and those of theround ligament over the stump, thus making a perfect truss for the sup-port of the pelvic floor. The sutures used are ordinary catgut reinforced by a few of fine chromiccatgut for the broad and the round ligaments. In case it is desirable to remove the ovaries and tubes the operationis done in the same manner, with the exception that the control forcepsare applied to the broad ligament directly along the side
. A new manual of surgery, civil and military. order to obtain a good floor of the pelvis which will prevent prolapseof the stump we suture the ends of the broad ligaments and those of theround ligament over the stump, thus making a perfect truss for the sup-port of the pelvic floor. The sutures used are ordinary catgut reinforced by a few of fine chromiccatgut for the broad and the round ligaments. In case it is desirable to remove the ovaries and tubes the operationis done in the same manner, with the exception that the control forcepsare applied to the broad ligament directly along the side of the uterus, leav-ing the ovaries and tubes to the outer side of the other forceps. 620 SURGERY OF THE FEMALE PELVIS SPLITTING OF THE UTERUS If it is difficult or impossible to apply the forceps to the broad ligamentsbecause of the presence of tumors or adhesions, or both, conditions whichoccur occasionally, the operation may be greatly facilitated by inserting astrong pair of tenaculum forceps in each horn of the uterus, having an assist-. Eadiograph of Female Pelvis. A and B , calcareous myomata of the uterus. Ccareous iliac lymph gland. calcareous ovary, D cal- ant make firm traction upon these, and then splitting the uterus longi-tudinally down to a point opposite the internal os. The tension upon theforceps in the horns of the uterus prevents hemorrhage from the cut sur-faces. Of course, the same precaution must be used against injuring the blad-der on the anterior surface of the uterus, if it extends above the normal posi-tion, that was mentioned in the operation just described. When the internal os has been reached a slight lateral incision is made on SURGERY OF THE FEMALE PELVIS 621 one side to a point at which the uterine artery is exposed. The broad liga-ment, together with the uterine artery, is then grasped from below by meansof strong forceps, and the uterus is cut away to the inner side of theseforceps. Another pair of tenaculum forceps is inserted in the lower
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
