A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . Fig. No. 24.—Spencer Wells Artery Forceps. be one) with Spencer Wells trocar; detach adhesions;ligate the pedicle; remove the tumor; arrest the hemorrhage, OVARIOTOMY. 323 by torsion or ligation of the bleeding vessels; examine theother ovary, and remove it if required; cleanse the periton-eal cavity; close the incision; apply proper dressing; see thepatient placed properly in bed, and returned to conscious-ness. It is sometimes best to tap the cyst, or cysts, if therebe more than one of any size, be
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . Fig. No. 24.—Spencer Wells Artery Forceps. be one) with Spencer Wells trocar; detach adhesions;ligate the pedicle; remove the tumor; arrest the hemorrhage, OVARIOTOMY. 323 by torsion or ligation of the bleeding vessels; examine theother ovary, and remove it if required; cleanse the periton-eal cavity; close the incision; apply proper dressing; see thepatient placed properly in bed, and returned to conscious-ness. It is sometimes best to tap the cyst, or cysts, if therebe more than one of any size, before exploring much for adhe-sions, as it often is of so large a size as to be very difficultof examination before tapping. Before inserting the trocar place a small elastic band overthe instrument, and have it strong enough to clasp it firmly;then sieze the sac with a pair of hook forceps, draw it out. Fig. No. 25.—Double Tenaculum Forceps. a little, and, after turning the patient well on the side,plunge in the trocar, and, as soon as some portion of thefluid has passed out, draw the sac up around the canula,sieze it with the hooks, draw it back, and slip over it theelastic band, so as to grasp the walls of the sac, and hold thecanula firmly. In this manner no fluid from the sac needescape into the abdominal cavity. We now sieze the sac, and ascertain if our incision islarge enough to easily extract the mass after evacuating thecysts. If not, then we may extend it upwards as high asnecessary, using two fingers passed up between the tumorand the peritoneum, and making the cut through all thetissues at once. We now arrest any hemorrhage caused by this secondincision, and proceed to find and divide any adhesions 324 EATON ON DISEASES OF WOMEN. between the tumor and the surrounding parts, breaking off theadhesions with the fingers, if it can be clone without usingvery great force. If
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