. The Principles and practice of gynecology : for students and practitioners. salpingitis. PUERPERAL LACERATION OF THE CERVLX LTEIU. 071 Tlie conditions niontionod above may ^ivo rise to immediate disas-trous results, (»r may eause persistent invalidism. 1lie rapid and com-plete relief which often follows the reopeninir of a contracted cervicalcanal ami os externum proves that the inteirrity (jf the uterine canalas a natural drainauc-tuhc is essential to health. Removal of the Cicatricial Plug.—The denudation should alwavsinclude removal of the phitr of cicatricial tissue which usuallvforms th
. The Principles and practice of gynecology : for students and practitioners. salpingitis. PUERPERAL LACERATION OF THE CERVLX LTEIU. 071 Tlie conditions niontionod above may ^ivo rise to immediate disas-trous results, (»r may eause persistent invalidism. 1lie rapid and com-plete relief which often follows the reopeninir of a contracted cervicalcanal ami os externum proves that the inteirrity (jf the uterine canalas a natural drainauc-tuhc is essential to health. Removal of the Cicatricial Plug.—The denudation should alwavsinclude removal of the phitr of cicatricial tissue which usuallvforms the anirle of the laceration. This important step in theoperation, if disreirarded. may prevent easy approximation of thedenuded surfaces, cause the sutures to cut out from undue tension, andresult in failure of union or in imperfect union. Failure of union,however, under such conditions would be a fortunate compromise forthe patient, since the cicatrix is much less injurious with the lacerationopen than closed. When, unfortunately, union has taken place, the Figure A line connecting Y. X, and Z would represent angle of laceration; X, section of uterine canalat angle of laceration. Three of the sutures iu place. Diagrammatic. consequent train of nervous symptoms may necessitate reopening ofthe wound and removal of the cicatricial plug. Hemorrliage.—The usuni slight bleediug is controlled readilv bvsponge pressure. Arterial hemorrhage, if not controlled bv ibrci-pressure or torsion, may require a fine catgut ligature. In occasionalaggravated cases the bleeding must be checked by the application ofone or two deep sutures. The Sutures may be of chromic catgut or silkworm gut. Silk-worm gut remains aseptic longer, and is therefore superior to the perineum is closed at the same time, the difficulty in theremoval of the cervical sutures will justify the use of absorimble cat-gut, which does not have to be removed. Catgut may also be usedin the repair of all small l
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
