A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . e operationrequired is very similar to ovariotomy. The pedicle may be ligated singly if small, or it may, iflarge, be divided into two or three parts in the ligation bypassing a needle armed with a double ligature (catgut is pref-erable). Tie the ligatures tightly with three knots each. Havethe ligatures interlock in this manner (), otherwise they might tear apart the dif-ferent portions of the pedicle separately lig-ated, causing hemorrhage. Cut them short,and leave them in the abdomen. The op
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . e operationrequired is very similar to ovariotomy. The pedicle may be ligated singly if small, or it may, iflarge, be divided into two or three parts in the ligation bypassing a needle armed with a double ligature (catgut is pref-erable). Tie the ligatures tightly with three knots each. Havethe ligatures interlock in this manner (), otherwise they might tear apart the dif-ferent portions of the pedicle separately lig-ated, causing hemorrhage. Cut them short,and leave them in the abdomen. The opera-tion will have to be abandoned in some cases,fig. no. 33. or eise extirpate the uterus by ligating it above the vaginal juncture, and then removing the uteruswith the tumor. (See Extirpation of the Uterus.) Whenit is found that the attachments are so very extensive as tobe too large to ligate, unless extirpation of the entire uterusis performed, it may be attempted in desperate cases, as theresult of recent operations seems to justify the operation, * Barness Diseases of Women, p. UTERINE FIBROMA. 347 which I will discuss under the head of Extirpation of theUterus. The removal of submucous tumors of the uterus whichare pedunculated (termed polypi) I will speak of under thehead of u Uterine Polypi. The non-penunculated, submucous, fibrous tumor of theuterus may be removed in the following manner by what iscalled enucleation: First of all, the os uteri must be as fullydilated as possible; or. it may be incised after the patientis placed under an anaesthetic, and we can then pass the hand,or at least two fingers, high up into the uterus, having itsfundus pressed upon by assistants through the abdominalwall. We next pass up between the fingers we have intro-duced a long-handled bistoury, and make an incision into thetumor as long as convenient. We now withdraw the instru-ment, and peel back the coverings of the tumor as well aswe can, and if we can entirely detach the tum
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