Gynaecology for students and practitioners . ?6 .--? Fig. 421. Scheme of Subtotal Hysterectomy. (Supra-vaginal amputa-tion. ) In a case where both appendages are being removed. augmented by a second transfixion-ligature, if there is the slightestdegree of tension. When the ligatures on either side are thus united, the cervix is heldup at its corners by all the lateral structures which have thus beenbrought together. The peritoneal edges are finally apposed over thecervical stump by a running sutiu-e from left to right {see Fig. 420). Thewound must be absolutely dry at the finish. The mattresse
Gynaecology for students and practitioners . ?6 .--? Fig. 421. Scheme of Subtotal Hysterectomy. (Supra-vaginal amputa-tion. ) In a case where both appendages are being removed. augmented by a second transfixion-ligature, if there is the slightestdegree of tension. When the ligatures on either side are thus united, the cervix is heldup at its corners by all the lateral structures which have thus beenbrought together. The peritoneal edges are finally apposed over thecervical stump by a running sutiu-e from left to right {see Fig. 420). Thewound must be absolutely dry at the finish. The mattresses andrubber-sheet are now removed, and the abdomen closed as alreadydescribed on p. 739. Figure 421 gives a scheme of subtotal hysterectomy in a casewhere both appendages are to be rem-oved. TOTAL ABDOMINAL HYSTERECTOMY; PANHYSTERECTOMY In this operation the entire uterus is removed (with or withoutthe appendages) by dividing the vagina close to its attachment to 746 GYNECOLOGY the cervix. It is definitely indicated in the surgical treatm
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
