The practice of obstetrics, designed for the use of students and practitioners of medicine . t is referred to works on gynec-ology. ABDOMINAL HYSTERECTOMY. 1017 The position of the patient is the dorsal one with provision for raising thepelvis into the Trendlenburg posture when required. The assistants are ananesthetizer, two assistants, and a general nurse. The instruments required are,scalpel, blunt-pointed scissors, 6 artery clamps, 2 abdominal retractors, heavyhysterectomy traction forceps, 4 long-bladed broad ligament clamps, dressingforceps, right and left pedicle needles, needle-holder,
The practice of obstetrics, designed for the use of students and practitioners of medicine . t is referred to works on gynec-ology. ABDOMINAL HYSTERECTOMY. 1017 The position of the patient is the dorsal one with provision for raising thepelvis into the Trendlenburg posture when required. The assistants are ananesthetizer, two assistants, and a general nurse. The instruments required are,scalpel, blunt-pointed scissors, 6 artery clamps, 2 abdominal retractors, heavyhysterectomy traction forceps, 4 long-bladed broad ligament clamps, dressingforceps, right and left pedicle needles, needle-holder, 6 full-curved needles, 3straight needles. No. 12 braided silk or No. 2 or 3 chromic catgut. No. i and 2plain catgut, silkworm-gut. Because of the laxness of the abdominal walls,pelvic floor, and uterine ligaments, and the prominence of the uterine vessels,the operation is more readily performed in the puerperal than in the non-puer-peral state. By reason of this laxness, the entire uterus and upper portion ofthe cervix can by traction be safely brought through the abdominal incision and. Fig. 1240.—Incomplete Abdominal Hys-terectomy. Shows the uterus drawnthrough the abdominal incision with thebroad ligament clamps applied; ovarianvessels and round ligaments ligated sep-arately, and broad ligaments divided. Fig. 1241.—Incomplete Abdominal Hys-terectomy. Shows the uterus drawn toone side and the opposite uterine vesselsbeing ligfated. the clamps and ligatures applied upon the surface of the abdomen instead of inthe pelvic cavity. Except in septic and cancerous conditions the incompleteoperation will usually suffice, and is the one more quickly and safely performed. Incomplete Hysterectomy.—Figs. 1240 to 1245 show the steps in incompletehysterectomy, and it will be noted from the illustrations that the entire uterus isdelivered through the incision. Also that the broad ligaments are clamped, andthe ovarian and uterine vessels and round ligaments ligated, the broad ligament
Size: 2071px × 1207px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
