The practice of surgery . terus. If this operation prove unsuccessful, it may be necessary to performhysterectomy, which may be done either by amputating the uterusthrough the cervix, or by removing the whole organ and closing thevagina. If the uterus is amputated through the cervix, the shortened DISPLACEMENTS 291 stumps of the round ligaments should be stitched to the cervical stumpfor extra support of the perineal floor. But, as I have said, total hys-terectomy does not insure the patient against a perineal hernia. Toinsure against hernia, various operations have been devised, but Irecommen
The practice of surgery . terus. If this operation prove unsuccessful, it may be necessary to performhysterectomy, which may be done either by amputating the uterusthrough the cervix, or by removing the whole organ and closing thevagina. If the uterus is amputated through the cervix, the shortened DISPLACEMENTS 291 stumps of the round ligaments should be stitched to the cervical stumpfor extra support of the perineal floor. But, as I have said, total hys-terectomy does not insure the patient against a perineal hernia. Toinsure against hernia, various operations have been devised, but Irecommend that advocated by G. W. Crile, as I have employed it fre-(juently and with great satisfaction during the past fi^?e years. Briefly,his operation is this: Having opened the abdomen, seize the uterus anddraw it up; tie off the ovarian arteries; perform a modified supravaginalhysterectomy, leaving long lateral tabs or fish-tails projecting up fromeither side of the cervix, and suspend the cervix by these long fish-tails,. Fig. 172.—Operation for procidentia, after Crile—step 2. drawing them through the bodies of the recti muscles, and stitchingthem together much as the round ligaments are stitched together abovethe recti in suspending the retroverted uteiTis. After any of these operations upon the prolapsed uterus a long periodof rest and care is needed. These women are usually debilitated fromprolonged suffering and their tissues are relaxed and toneless. Theyhave been the subjects of aggravated forms of hernia, which, at the best,have not been adequately repaired or restored to natural conditions,so that convalescence is tedious, demanding special care and upbuilding. 292 FEMALE ORGANS OF GENERATION (\ TUMORS OF THE UTERUS Forty years ago amputation at the hip-joint was the great capitaloperation of surgery—rare and interesting. It was said that no sur-geon had won his spurs until he had i)erfornied this oi)cration success-fully. Twenty-five years ago ovariotomy took the
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
