. Operative gynecology. a few fine catgut ligatures ; the layers of themesosalpinx may then be drawntogether with a continuous cat-gut suture. In all cases of parovariancysts where the ovary can betraced by means of the utero-ovarian ligament and clearlydistinguished from the tumor,there is no need to saci-iflceeither the ovary or the tube inremoving the cyst. Parovarian cysts with clearwalls and of lesser size may beremoved by incising the meso-salpinx at a point where thereare the fewest vessels, and draw-ing back the peritoneum on both sides as the cyst is shelled oiit from its bed ; anothe
. Operative gynecology. a few fine catgut ligatures ; the layers of themesosalpinx may then be drawntogether with a continuous cat-gut suture. In all cases of parovariancysts where the ovary can betraced by means of the utero-ovarian ligament and clearlydistinguished from the tumor,there is no need to saci-iflceeither the ovary or the tube inremoving the cyst. Parovarian cysts with clearwalls and of lesser size may beremoved by incising the meso-salpinx at a point where thereare the fewest vessels, and draw-ing back the peritoneum on both sides as the cyst is shelled oiit from its bed ; another plan of removal, usefulwhen the peritoneum stretched out over the cyst is redundant, is to make an ovalincision into the peritoneum, removing a sufficiently large piece to j^ermit theremainder to be drawn neatly together after the extirpation. In large parovarian cysts where the tube is greatly elongated, after tapping. Fio. 358.—Parovarian Cyst in the Left Buoau Ligament REMOVED BY INCISING THE MESOSALPINX AND WITHOUT EITHER OvAKY OR TiBE. San. Nov 21, Size. 176 CONSERVATIVE OPERATIONS ON THE TUBES AND OVARIES. the cyst and bringing it outside and carefully distinguishing the position of thetube and the ovary, the opening into the mesosalpinx is enlarged, the cyst with-drawn, bleeding vessels secured and the peritoneal opening approximated, andthe whole dropped back again minus the tumor. In extra-uterine pregnancy there is no reason whatever for the sacrifice ofthe ovary in removing a mutilated tube; Dr. J. Gr. Clark has allowed the ovaryto remain without any apparent disadvantage in a case operated upon at my clinic. In hystero-myomectomy, by tying off the uterine tube at the uterine cornuinstead of near the pelvic brim, the tube and ovary are both pushed down intothe pelvis and out of the way as soon as the top of the broad ligament is opened,when the rest of the enuc
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
