. Pelvic inflammation in women. mpet-like end by suturing it with veryfine catgut to the peritubal peritoneum. In this way we have a largefunnel shaped opening, without raw edges, for the receipt of the ovum. i6o PELVIC INFLAMMATION IN WOMEN If sufficient care is taken in this eversion and all raw surfaces are com-pletely covered, some success may be looked for. To increase the chanceof pregnancy, the ovary should be fastened near the open end of the tube,great care being taken to avoid passing any suture through the pro-tective tunic. Partial resection of the tubes has little or no clinical v
. Pelvic inflammation in women. mpet-like end by suturing it with veryfine catgut to the peritubal peritoneum. In this way we have a largefunnel shaped opening, without raw edges, for the receipt of the ovum. i6o PELVIC INFLAMMATION IN WOMEN If sufficient care is taken in this eversion and all raw surfaces are com-pletely covered, some success may be looked for. To increase the chanceof pregnancy, the ovary should be fastened near the open end of the tube,great care being taken to avoid passing any suture through the pro-tective tunic. Partial resection of the tubes has little or no clinical value as a con-setvative operation, except to allow an opportunity for the arrest intransit of the fecundated ovum. Tweedy and his assistant have eachrecently reported cases of ectopic pregnancy occurring in resected of our interstitial pregnancies have occurred in the stumps of tubeswhich had been previously resected and ligated. It must always be re-membered that the spermatozoon can pass through a smaller lumen than. Fig. 55.—Serial Sections Were Taken from Areas Marked i, 2 and 3. the ovum, hence the danger of ectopic pregnancy in these attempts atconservatism. Complete ablation of the tube is the common procedure in chronictubal inflammations which demand operation. To our mind, if theinfective process is one of long standing, the uterine tissue about theinterstitial portion of the tube is always involved to a greater or lessdegree. We have shown by serial sections through this region that in-flammatory tissue is found at a considerable distance from the in-fected focus, and that unless this tissue is widely removed the womancarries with her, through life, an infected hyperplastic uterus. Furthermore, in this same class of cases, the cervix should also beremoved, for, like the fundal area, it also is a constant source of infection.(The reader is referred to the chapter on Endocervicitis, that he mayappreciate the significance of this statement.) Leukorrhea would
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