Treatise on gynæcology : medical and surgical . subsequent application, if necessary, of some hsemostatic like chlor-ide of zinc (1 : 10) or the actual cautery, and then the operative fieldmust be cleansed and guarded against infection. As this procedurecauses but little pain, it is not necessary to employ irrigation with sublimate solution (1 : 5,000) twice a day,and the application of iodoform tampons in the interval, complete thepreparation. 362 CLIXIOAL AJSTD OPERATIVE GYNAECOLOGY. Three hours before the operation the patient should take a large,simple enema, and immed
Treatise on gynæcology : medical and surgical . subsequent application, if necessary, of some hsemostatic like chlor-ide of zinc (1 : 10) or the actual cautery, and then the operative fieldmust be cleansed and guarded against infection. As this procedurecauses but little pain, it is not necessary to employ irrigation with sublimate solution (1 : 5,000) twice a day,and the application of iodoform tampons in the interval, complete thepreparation. 362 CLIXIOAL AJSTD OPERATIVE GYNAECOLOGY. Three hours before the operation the patient should take a large,simple enema, and immediately beforehand an assistant who is notto have any part in the hysterectomy should determine by rectaltouch that the large intestine is entirely empty; if it still containsfecal matter, an injection of hot water is at once given and the faecesremoved with the aid of the finger; then the rectum is cleansed byan injection of a saturated boric-acid solution. The bladder is to beemptied at the beginning of the operation by one of the Fig. 184.—Vessels of the Uterus; IIterixe and Utero-ovarian Arteries. The patient is anesthetized and placed in the dorso-sacral position,an assistant on each side taking one of the flexed thighs under hisarm while his other remains free to assist. The fourchette is depressedby a univalve speculum and the lateral parts held aside by cervix is seized with Museux or other fixation forceps (Fig. 182)and continuous irrigation of the field of oxDeration gently begun (, p. 17). First Step. Opening Douglas1 Poucli and Vagino-peritonealSuture.—The cervix is drawn strongly forward so as to stretch theposterior vaginal pouch as much as possible, which is then incisedtransversely down to the peritoneum, across its whole width. The index finger of the left hand is passed into this opening, andwith a strongly curved needle a series of sutures is inserted throughout TREATMENT OF CANCER OF THE CERVIX. 363 the whole extent of t
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