Gynecology . v__^ -*. Fig. 365.— tube of the left side has been exsected, including the isthmus, and the wound in the peritoneum closed by a running suture. mation of postoperative adhesions. It is for this reason chiefly that conserva-tive surgery for pelvic inflammatory disease so often results in failure. SALPINGOSTOMY (STOMATOPLASTIC) As stated above, when it is necessary to remove a tube that has been dam-aged by infection, it is not good surgery to leave any part of it, on account of thedanger of a later recurrent inflammatory process in the remaining stump. Itis necessa


Gynecology . v__^ -*. Fig. 365.— tube of the left side has been exsected, including the isthmus, and the wound in the peritoneum closed by a running suture. mation of postoperative adhesions. It is for this reason chiefly that conserva-tive surgery for pelvic inflammatory disease so often results in failure. SALPINGOSTOMY (STOMATOPLASTIC) As stated above, when it is necessary to remove a tube that has been dam-aged by infection, it is not good surgery to leave any part of it, on account of thedanger of a later recurrent inflammatory process in the remaining stump. Itis necessary, however, sometimes to take this risk when the desire for childrensurmounts all other considerations. The chances of impregnation through adamaged and resected tube are, to be sure, not very promising, yet the possi-bility is present, and, according to the authors figures, is somewhat greaterthan is ordinarily supposed. In deciding on a stomatoplastic operation on the tube the pelvic organs mustfirst be thoroughl


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