An international system of electro-therapeutics : for students, general practitioners, and specialists . eshave become infiltrated at an earlier period the entire portio will be foundmuch enlarged, knobby, and indurated. Or, again, one or other lip only L-16 BYRNE. raa,y apparently be involved, and in which case the disease will usuallybe seen to have encroached upon the rectal or vesical wall, while theopposite side would seem to have escaped, as if the disease in sparing apart had directed its entire pathological force in another direction. Another class of cases is to be met with in which t
An international system of electro-therapeutics : for students, general practitioners, and specialists . eshave become infiltrated at an earlier period the entire portio will be foundmuch enlarged, knobby, and indurated. Or, again, one or other lip only L-16 BYRNE. raa,y apparently be involved, and in which case the disease will usuallybe seen to have encroached upon the rectal or vesical wall, while theopposite side would seem to have escaped, as if the disease in sparing apart had directed its entire pathological force in another direction. Another class of cases is to be met with in which the vagina islargely occupied by a soft, friable, and bleeding cancerous mass, or anenormously large and indurated cervix (Figs. 22 and 23). In such con-dition it will be found impossible to form a correct idea as to the extentto which the diseas,e may have invaded the uterus until the obstructingmass has been first removed by the cautery loop, the sharp curette, orboth. This having been effected, the upper vaginal walls previouslyhidden should be carefully examined and any suspicious-looking nodules. Fig. 22. thereon removed by cautery knife and thoroughly cauterized. Should itbe found that the disease in the posterior lip has involved the cul-de-sacof Douglas to a degree sufficient to warrant its excision and conse-quently opening into the peritoneal cavity, this had better be made thefinal proceeding in the operation. If carefully done, no evil consequenceswhatever may be anticipated therefrom, an antiseptic tampon to pre-vent intestinal protrusion being sufficient to meet the emergenc}^ (Fig-24). The depth of the uterus should now be taken, what remains of thecanal forcibly dilated and scraped out bj^ sharp curette, and the uterinecavit}^ if necessary, submitted to the same process. The diverging vul-sellum is next to be introduced, expanded, and locked, so as to securecomplete control of the uterus, and the latter should be drawn down and ELECTRO-THERMAL SURGERY. L-IT eleva
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectuterus, bookyear1894
