. A manual of gynæcology and pelvic surgery, for students and practitioners. umor may rupture and not refill,but as a rule their treatment is the same as that of the trueovarian cysts. OPERATIONS UPON THE OVARIES A retention cyst or a corpus luteum cyst of one ovary may betreated by removal of that ovary if the other is normal, butresection is the operation of choice when both ovaries areinvolved. Resection.^—After the abdomen is opened the intestine ispacked away from the lower pelvis with gauze pads, both toprevent soiling if the cyst should rupture and to obviateconstant handhng of the bowe
. A manual of gynæcology and pelvic surgery, for students and practitioners. umor may rupture and not refill,but as a rule their treatment is the same as that of the trueovarian cysts. OPERATIONS UPON THE OVARIES A retention cyst or a corpus luteum cyst of one ovary may betreated by removal of that ovary if the other is normal, butresection is the operation of choice when both ovaries areinvolved. Resection.^—After the abdomen is opened the intestine ispacked away from the lower pelvis with gauze pads, both toprevent soiling if the cyst should rupture and to obviateconstant handhng of the bowel. Most retention cysts are the OVARIOTOMY 429 aftermath of acute oophoritis and are therefore adherent tothe broad ligament, intestine, or floor of the pelvis. The ad-hesions which bind the ovary to these localities are separatedgently, and the ovary is drawn to the surface. A wedge-shapedexcision of all the affected area is then made and the flaps unitedwith interrupted sutures of fine silk or catgut, apphed justtightly enough to control bleeding. No sutures should be. Fig, 214. -Resection of ovary. A wedge-shaped excision of all the affected areais made. placed upon the broad Hgament external to the ovary forfear that deprivation of its main blood supply will cause furtherdegeneration and subsequently necessitate a total removal ofthe organ. Ovariotomy.—Ovariotomy was the earliest routine abdominaloperation undertaken deliberately with the object of curing ahitherto incurable disease. 430 DISEASES OF THE OVARIES In the absence of adhesions the operation is easy and thetechnique simple, especially if the tumor is of moderate size. The abdomen is opened by a short incision at or near themid-line, and the relations of the tumor ascertained with thefinger. If no comphcations are present the incision is length-ened sufficiently to permit the tumor to be lifted out of theabdominal cavity, which is at once protected by gauze pads
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