. Diseases of women. A clinical guide to their diagnosis and treatment. regnancy: it ends inearly rupture into the peritoneal cavity. It can only be dis-tinguished from tubal pregnancy by looking for the insertionof the round ligament. In this condition the round ligamentis inserted outside the pregnancy ; in tubal pregnancy insideit. The pregnancy is in the uterus, but not in the normalplace ; it is not extra-uterine, but it is ectopic. Treatment of great intra-peritoneal bleeding.—Fromthe foregoing account of the causes of great haemorrhage * McKinley, Glasgow Med, Journal, vol. ix. p. 324.
. Diseases of women. A clinical guide to their diagnosis and treatment. regnancy: it ends inearly rupture into the peritoneal cavity. It can only be dis-tinguished from tubal pregnancy by looking for the insertionof the round ligament. In this condition the round ligamentis inserted outside the pregnancy ; in tubal pregnancy insideit. The pregnancy is in the uterus, but not in the normalplace ; it is not extra-uterine, but it is ectopic. Treatment of great intra-peritoneal bleeding.—Fromthe foregoing account of the causes of great haemorrhage * McKinley, Glasgow Med, Journal, vol. ix. p. 324. 300 DISEASES OF WOMEN. into the peritoneum in women, it will be seen that in allof them the treatment is to open the belly, find the causeof the haemorrhage, and deal with it in such a manner as tomake the patient safe from further haemorrhage. This operation must be done at once. In most abdominaloperations the prospect of recovery is so much greater ifthe operator be experienced that a medical man not inthe habit of operating ought to leave the operation to an ^*. Fig. 101.—Pregnancy in a rudimentary uterine cornu. (Luschka.) a, developed uterine cornu (right); b, rudimentary uterine cornu (left), with a rent, throughwhich the foetus has escaped ; 1, right Fallopian tube ; 2, left Fallopian tube ; 3, left ovary ;4, right ovary; 5, corpus luteuni ; 6, round ligament. expert. But with great bleeding into the belly, the dangerfrom delay is greater than that from want of experience inthe operator; for in most such cases the operation is easy,and if done early, and with clean hands and instruments,will be successful. How to do the operation.—The instruments requiredare the same as for ovariotomy, except the trochar. Oneassistant, beside the anaesthetist, is needed. Make a three-inch incision in the linea alba, midway between pubes andumbilicus. Insert two ringers and feel for the body ofthe uterus. This will guide you to the broad the finders outwards, alonsf
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