Gynaecology for students and practitioners . Fig. 422. Stoft Volsella with a Lateral Fig. 423. Total Abdominal Hysterectomy. On the left side the infundi- bulo-pelvic fold has been divided. The utero-sacral fold is clamped ready for division. 1 = Forceps on round ligament. 2 = Forceps on infundibulo- pelvlc fold. 3 = Forceps on utero-sacral fold. 748 GYNECOLOGY the lateral wall of the isthmus (supra-vaginal cervix). Tractionby means of the volsella puts the parametrium on the stretch,and as the uterine vessels and ureter have already been displaced,the parametric tissues may be clamped

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Gynaecology for students and practitioners . Fig. 422. Stoft Volsella with a Lateral Fig. 423. Total Abdominal Hysterectomy. On the left side the infundi- bulo-pelvic fold has been divided. The utero-sacral fold is clamped ready for division. 1 = Forceps on round ligament. 2 = Forceps on infundibulo- pelvlc fold. 3 = Forceps on utero-sacral fold. 748 GYNECOLOGY the lateral wall of the isthmus (supra-vaginal cervix). Tractionby means of the volsella puts the parametrium on the stretch,and as the uterine vessels and ureter have already been displaced,the parametric tissues may be clamped by forceps. The firstpair of forceps grasps the utero-sacral ligament which is dividedon the uterine side of the clamp {see Fig. 423 [3]) The secondpair is applied to the utero-sacral ligament on the opposite side, whichis then likewise severed. The scissors are then inserted on the flatunder the peritoneum at the back of the uterus and pushed across from

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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1