A system of gynecology . The slipknot being drawn downon a tenaculum. Twisting a suture with the tenaculum to pre-vent the \\ Ire from slipping nut of the graspof the tu [sting forceps. contact, the wire it twisted beyond the shoulder would strangulate thetissues, and either cut through thein or cause sloughing, itthe wound Fig. Shouldering a Suture. cannot be brought together or nearly together by shouldering, it is evident that the traction upon the sutures, even though they be twisted 352 GENERAL CONSIDERATION OE GYNECOLOGICAL SURGERY. only to the shoulder, may cause them to cut or th
A system of gynecology . The slipknot being drawn downon a tenaculum. Twisting a suture with the tenaculum to pre-vent the \\ Ire from slipping nut of the graspof the tu [sting forceps. contact, the wire it twisted beyond the shoulder would strangulate thetissues, and either cut through thein or cause sloughing, itthe wound Fig. Shouldering a Suture. cannot be brought together or nearly together by shouldering, it is evident that the traction upon the sutures, even though they be twisted 352 GENERAL CONSIDERATION OE GYNECOLOGICAL SURGERY. only to the shoulder, may cause them to cut or the flaps to slough, andthe operation to fail. The object of shouldering, therefore, is twofold :first, to show that the flaps can be held together without undue traction ;second, to limit the twisting and thereby prevent strangulation. Thetwisted portion of the suture should now be bent down upon the sur- Fig. 160.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
