. Operative gynecology. ich theovary may be closed by suture and dropped again into the pelvis. While it is not my intention to speak here in detail of the conservative treat-ment of pelvic abscesses (see Chapter XXVII), it is important to refer to thosecases of pelvic abscess involving both ovary and tube which have recovered bydrainage through the vault of the vagina without the extirpation of either ovaryor tube. In tln-ee instances of this kind in my practice pregnancy has occurredafter the healing of the abscess. COSrSEETATIVE OPERATIONS OS THE UTERINE TUBES. 183 CONSERVATIVE OPERATIONS O
. Operative gynecology. ich theovary may be closed by suture and dropped again into the pelvis. While it is not my intention to speak here in detail of the conservative treat-ment of pelvic abscesses (see Chapter XXVII), it is important to refer to thosecases of pelvic abscess involving both ovary and tube which have recovered bydrainage through the vault of the vagina without the extirpation of either ovaryor tube. In tln-ee instances of this kind in my practice pregnancy has occurredafter the healing of the abscess. COSrSEETATIVE OPERATIONS OS THE UTERINE TUBES. 183 CONSERVATIVE OPERATIONS ON THE UTERINE TUBES. Although the tube is a more delicate structure than the ovary, and itsfunction as a carrier of the ovary is more easily disturbed than is thatof the maturation and discharge of the ova from the ovary, it is, how-ever, marvelously amenable to conserv- ative treatment in a varietyof affections. The following are the /; commonest operations wliichmay be practiced upon the uterine liMi:: tubes: ,X^vc^^^. f IG. 365.—Velj us Adhesion of tue Kight Utjbrjne Tube to Itself and to the Uterine 1, 1897. Natural Size. 1. The release of adherent tubes. 2. Tle opening or resection of closed tubes. 3. The emptying, cleansing, and sterilization of inflamed tubes. 4. The amputation of diseased tubes. 5. The exsection of diseased or of strictured tubes. 6. The drainage of tubal abscesses. 7. Preservation of the tube in extra-uterine pregnancy. 1. Adherent Tubes.—Adhesions binding the tubes down in the pelvis mayoften be released l)y mnning the fingers down under the tube and breakingthem up one after another, or by exposing the uterine end of the tube andmaking traction upon it, and so tracing the tube down toward the pelvic which can not be broken easily with the fingers should be exposed 184 CONSERVATIVE OPERATIONS ON THE TUBES AND OVARIES. and divided with the scissors; too great traction or too rough manipulationmust not be made as it is l
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