. The science and art of midwifery. Fig. 210.—Peritonaeum muscular-tissue mucousmembrane; before resection. (Leopold.) Fig. 211. -After resection,pold.) (Lco-. Fig. -The uterine sutures(Leopold.) ficial sutures designed to secure the contact of the peritoneal borders. Theprinciple of subperitoneal muscular resection, as Sanger termed his method, hasbeen tested in three instances by Leopold,! with the saving of the three mothersas well as of the three children. In practice, howTever, the plan was found to re-quire some modification. Thus Leopold, afterraising the peritonaeum with tissue-forceps
. The science and art of midwifery. Fig. 210.—Peritonaeum muscular-tissue mucousmembrane; before resection. (Leopold.) Fig. 211. -After resection,pold.) (Lco-. Fig. -The uterine sutures(Leopold.) ficial sutures designed to secure the contact of the peritoneal borders. Theprinciple of subperitoneal muscular resection, as Sanger termed his method, hasbeen tested in three instances by Leopold,! with the saving of the three mothersas well as of the three children. In practice, howTever, the plan was found to re-quire some modification. Thus Leopold, afterraising the peritonaeum with tissue-forceps fromthe borders of the wound, separated it by a hor-izontal incision, made with a bistoury to the ex-tent of a half-centimetre, at the upper and lowerangles, and about one centimetre at the middleof the wound. In carrying out this dissection, alayer of muscular tissue, upward of a millimetrein thickness, was removed with the peritonaeum. Then, after lifting the detached serous layer, he removed, cutting from withinoutward, from each side a segment of muscular tissue extending through the en-tire thickness of the uterine walls—each segment possessing
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Keywords: ., bookcentury1800, bookdecade1890, bookidsci, booksubjectobstetrics
