. Operative gynecology. Fig. 3SS.—Absoess of both Fallopian Tubes TisEATEn TiiRononAN Abdominal Incision by releasing, opening, and wash-ing OLT THE Tubes, and then DKorpiNG them with the Ova-ries onto a Gauze Drain leading through the PosteriorFornix into the Vagina. Maroh 4, 181)0. EVACPATION BY THE VAGINA AIDED BY AX ABDOMINAL INCISION. 229 by densely adherent masses which could not be differentiated. It was evidentthat life could not be saved if the operation was prolonged, so I made a freevaginal opening, and evacuated about 350 cubic centimeters of thick fetid slowly recovered af
. Operative gynecology. Fig. 3SS.—Absoess of both Fallopian Tubes TisEATEn TiiRononAN Abdominal Incision by releasing, opening, and wash-ing OLT THE Tubes, and then DKorpiNG them with the Ova-ries onto a Gauze Drain leading through the PosteriorFornix into the Vagina. Maroh 4, 181)0. EVACPATION BY THE VAGINA AIDED BY AX ABDOMINAL INCISION. 229 by densely adherent masses which could not be differentiated. It was evidentthat life could not be saved if the operation was prolonged, so I made a freevaginal opening, and evacuated about 350 cubic centimeters of thick fetid slowly recovered after several weeks of delirium, and is now, three yearsafter, in good health, without any evidence of pelvic Fig. 389.—Showing the Gauze Drain filling the Ci:l-I)E-sac behind the Uterus and leadin DOWN INTO THE VaGINA. When a pyosalpinx is situated high up in the pelvis and is not in contactwith the vaginal vault it may be necessary to free the adhesions and push thepus sac or sacs down into Douglass cul-de-sac, where they may be more easilyand safely reached by the vaginal puncture. The following case well illustratesthis plan of treatment: A. C, 4186, March 4, 1896. Chief complaint, severe lower abdominal pains,with recurrent attacks of fever and chills. She had been married sixteen years and had one child, born eleven years agoafter a difficult natural laljor. Complete rupture of the recto-vaginal septumoccurred, and she was confined to lied for two months with puerperal fever; shehas had four operations since in the endeavor to cure the tear, and each time 230 VAGINAL DRAINAGE AND ENUCLEATION FOR PYOSALPINX, ETC. infection caused a failure. In 1889 she was operated upon for the fifth t
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
