. Operative gynecology. Fig. 457.—Adeno-cabcinoma of the Body of the Uterus cdt theough the Anterior Wall. In spite of the fact that the whole uterine cavity is choked with the disease, it does not invade the as Fig. 456. July 25,1894. y, natural size. the uterus is plastic, and it is possible to reach with ease far out into the broadligaments, a feat much more difficult in the case of the non-pregnant Fig. 458.—Adeno-cahcinoma ok tiik Utkiune , wmi Metastatic Nopules in the Lymph Chan-nels OF THE Left Broad Ligament and a Nodule in the Left Eound the e


. Operative gynecology. Fig. 457.—Adeno-cabcinoma of the Body of the Uterus cdt theough the Anterior Wall. In spite of the fact that the whole uterine cavity is choked with the disease, it does not invade the as Fig. 456. July 25,1894. y, natural size. the uterus is plastic, and it is possible to reach with ease far out into the broadligaments, a feat much more difficult in the case of the non-pregnant Fig. 458.—Adeno-cahcinoma ok tiik Utkiune , wmi Metastatic Nopules in the Lymph Chan-nels OF THE Left Broad Ligament and a Nodule in the Left Eound the entire body is converted into a carcinomatous mass, while the cervical portion is free. Alarge gland, about 2 centimeters in diameter, removed from the pelvic wall showed nothing but hypertrophy. In the later months Caesarean section, with entire removal of the uterus, hasbeen the usual procedure, and is my own preference; but recently Fritsch and 314 ABDOMINAL HYSTERECTOMY FOR CARCINOMA OF THE UTERUS. others have strongly advocated vaginal hysterectomy. In these cases they firstslit the cervix, deliver tlie child and placenta, and claim that the uterus can thenbe removed^e; vaginam with great ease. In inoperable cases, Csesarean section at or near term offers the best chancefor the child, and for the mother it is better to continue the operation by ampu-tating the uterus at the cervix; in other words, by performi


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal