. Operative gynecology. feUI Fig. 396.—Diagkam showing the Kelations ofAN Ovarian Cyst to the Peritoneum of thePelvic Floor and Beoad Li FT, the uterine tube, with its intact mesosalpinx(Ms). The red line (P, P) is the peritoneum, whichextends to the hilum of the ovary, but does not PEDICLE. 249 the uterus as established by means of the pedicle; the treatment, also, is sim-plified or rendered difficult according to the character of the pedicle and therelations of its component structures. In some instances the mesovarium is pulled out with the utero-ovarian liga-ment in the form of a long band
. Operative gynecology. feUI Fig. 396.—Diagkam showing the Kelations ofAN Ovarian Cyst to the Peritoneum of thePelvic Floor and Beoad Li FT, the uterine tube, with its intact mesosalpinx(Ms). The red line (P, P) is the peritoneum, whichextends to the hilum of the ovary, but does not PEDICLE. 249 the uterus as established by means of the pedicle; the treatment, also, is sim-plified or rendered difficult according to the character of the pedicle and therelations of its component structures. In some instances the mesovarium is pulled out with the utero-ovarian liga-ment in the form of a long band to form a pedicle 6 or 8 or more centimeters. Fig. 397.—Long Fedicle of a Papillary Ovarian The tube is above, with a cyst (hydatid of Morjjagni) uuder its linibriated extremity. March 8, 202. % natural size. in length (see Fig. 397). At other times the tumor (usually parovarian) de-velojDS in the outer part of the mesosalpinx, and the ampullar part of the tubeis spread out on its surface. When the whole mesosalpinx is spread apart bythe growing tumor, the entire tiibe is also stretched out on its surface fromcornu uteri to fimbriated end, and may be greatly lengtliened (see Fig. 398).Continued development in this direction opens up the lower part of the broadfigament, and then raises the pelvic and sometimes the abdominal peritoneum,even as high up as the celiac axis. In broad ligament tumors of this kind theuterus is found lying closely attached on one side. In marked contrast to these tumors which lie between the layers of the broadligament, a pseudo-intraligamentary tumor may be found when anovarian
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
