Gynaecology for students and practitioners . Fig. 460. Instruments used in the Removal Piecemeal of aSubmucous Fibkoid (Morcellement). the tumom^. (3) The process of cutting up must be carried on Avithinthe capsule. (4) The index finger of the right hand should frequentlybe inserted inside the capsule for the purpose of stripping it off thesuccessively accessible portions of the tumour. (5) The fundus mustbe grasped by an assistant. By working inside the capsule, and bypreserving its integrity,, free hsemorrhage is avoided. The uterus con-tracts pari passu with the morcellement and enucleation
Gynaecology for students and practitioners . Fig. 460. Instruments used in the Removal Piecemeal of aSubmucous Fibkoid (Morcellement). the tumom^. (3) The process of cutting up must be carried on Avithinthe capsule. (4) The index finger of the right hand should frequentlybe inserted inside the capsule for the purpose of stripping it off thesuccessively accessible portions of the tumour. (5) The fundus mustbe grasped by an assistant. By working inside the capsule, and bypreserving its integrity,, free hsemorrhage is avoided. The uterus con-tracts pari passu with the morcellement and enucleation. WTien the 792 GYNECOLOGY growth is removed, the capsule has to be dealt with. It may befound to be intimately adherent to the fundus, in which case it is bestto cut away the freed portion, and leave the adherent part to comeaway during subsequent involution. When the uterine cavity is emptied,15 m. of ernutin should be injected into the muscles of the buttock, andthe edges of the cervical incision are brought together by interruptedsuture
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
