. Operative gynecology. te sides of theincision are next firmly ap-proximated by a series ofinterrupted deep catgut su-tures. The sutures must belaid so as to make the mostpressure on the bleedingpoints and thus aid in controlling the particle of bleedingmust be checked beforeclosing the abdomen. Subserous Sessileand Interstitial My-oma t a .—Sessile and inter-stitial tumors vary in size from masses as large as a uterus five months preg-nant down to pealike nodules on the surface or buried in the uterine larger tumors when interstitial lie encapsulated in a mass of hy


. Operative gynecology. te sides of theincision are next firmly ap-proximated by a series ofinterrupted deep catgut su-tures. The sutures must belaid so as to make the mostpressure on the bleedingpoints and thus aid in controlling the particle of bleedingmust be checked beforeclosing the abdomen. Subserous Sessileand Interstitial My-oma t a .—Sessile and inter-stitial tumors vary in size from masses as large as a uterus five months preg-nant down to pealike nodules on the surface or buried in the uterine larger tumors when interstitial lie encapsulated in a mass of hypertrophieduterine tissue. The operation for their removal consists in a linear incision through thecapsule of peritoneum or uterine tissue, down into tlie white fibrous tissue of thetumor, grasping the exposed tumor with a pair of stout claw forceps, and elevat-ing it, as it is gradually shelled out of its bed by the fingers, or preferably bysome flat blunt instrument, like the handle of a scalpel or closed Fiu. 4^2.—Same uterus after removal of the tumors, .showingtlie broad bases of uterine tissue now about to be brought togetlierby buried and interrupted eatg-ut sutures, drawing tlie lips of thewounds as indicated by tlie crossed arrows.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal