The practice of surgery . I cannot regard it as a proper routine surgical proceduie, becauseit does not allow of a thorough inspection of the field and treatment ofcomplications. The presence of extensive adhesions and inflamedtubes and ovaries may render the vaginal operation extremely difficult,and the ureters cannot always easily be avoidetl. On the whole, vaginalhysterectomy for myoma is as difficult or more difficult than abdominal. Fig. 179.—Removal of subserous myoma of uterus. hysterectomy, and the mortality is no lower. I shall describe the technicshortly under the topic Cancer of the
The practice of surgery . I cannot regard it as a proper routine surgical proceduie, becauseit does not allow of a thorough inspection of the field and treatment ofcomplications. The presence of extensive adhesions and inflamedtubes and ovaries may render the vaginal operation extremely difficult,and the ureters cannot always easily be avoidetl. On the whole, vaginalhysterectomy for myoma is as difficult or more difficult than abdominal. Fig. 179.—Removal of subserous myoma of uterus. hysterectomy, and the mortality is no lower. I shall describe the technicshortly under the topic Cancer of the Uterus. Vaginal enucleations and morcellation are operations of doubtfulvalue. They are blind, and unsurgical, and they leave the operator inthe dark as to possible complicating conditions. Tumors confined tothe cervix, however, and pedunculated growths in the uterine cavityshould be removed by the vaginal route. For the removal of the latterthe wire snare and scissors are generally sufficient, but it may be neces-sary to split up the cervical canal in order to allow of proper handling ofinstruments within the cavity and the removal of masses choking the os. TUMORS OF THK UTERUS 299 Abdominal Operations.—Myomectomy.—Strangely enough, the con-servative operation of myomectomy came into general use long afterthe radical hysterectomy had become familiar. By myomectomy we
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
