The practice of surgery . Fig. 179.—Removal of subserous myoma of uterus. hysterectomy, and the mortality is no lower. I shall describe the technicshortly under the topic Cancer of the Uterus. Vaginal enucleations and morcellation are operations of doubtfulvalue. They are blind, and unsurgical, and they leave the operator inthe dark as to possible complicating conditions. Tumors confined tothe cervix, however, and pedunculated growths in the uterine cavityshould be removed by the vaginal route. For the removal of the latterthe wire snare and scissors are generally sufficient, but it may be nec
The practice of surgery . Fig. 179.—Removal of subserous myoma of uterus. hysterectomy, and the mortality is no lower. I shall describe the technicshortly under the topic Cancer of the Uterus. Vaginal enucleations and morcellation are operations of doubtfulvalue. They are blind, and unsurgical, and they leave the operator inthe dark as to possible complicating conditions. Tumors confined tothe cervix, however, and pedunculated growths in the uterine cavityshould be removed by the vaginal route. For the removal of the latterthe wire snare and scissors are generally sufficient, but it may be neces-sary to split up the cervical canal in order to allow of proper handling ofinstruments within the cavity and the removal of masses choking the os. TUMORS OF THK UTERUS 299 Abdominal Operations.—Myomectomy.—Strangely enough, the con-servative operation of myomectomy came into general use long afterthe radical hysterectomy had become familiar. By myomectomy we. Fig. 180.—Removal of myomata. mean shelling out the myomata, one by one, from the uterus. Theoperation is so easy in appropriate cases that nothing more than theillustrations are needed to demonstrate it. Open the abdomen; throw
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
