Preparatory and after treatment in operative cases . .—Patient in Trendelenburg Position, Draped for Celiotomy. 323) until the desired elevation is attained. Fig. 323 shows thepatient placed in the Trendelenburg posture. The postoperative complications following transperitonealoperations upon the uterus and adnexa are similar to those dis-cussed under celiotomy, and are treated in the same way. As arule, an abdominal supporter (Fig. 300) or a special corset () should be worn for several months after celiotomy in thissituation, as these organs are attacked through a portion of theabdomin
Preparatory and after treatment in operative cases . .—Patient in Trendelenburg Position, Draped for Celiotomy. 323) until the desired elevation is attained. Fig. 323 shows thepatient placed in the Trendelenburg posture. The postoperative complications following transperitonealoperations upon the uterus and adnexa are similar to those dis-cussed under celiotomy, and are treated in the same way. As arule, an abdominal supporter (Fig. 300) or a special corset () should be worn for several months after celiotomy in thissituation, as these organs are attacked through a portion of theabdominal wall, which is of necessity exposed to considerablestrain and pressure. CHAPTEE XXVII GYNECOLOGICAL OPERATIONS BY THE PERINEAL ROUTE Position of patient—Isolation of operative field—Irrigation—Care during con-valescence—The care of the wound—Vaginal drainage of pelvic abscess—Vaginal hysterectomy. POSITION OF PATIENT The vulva is shaved and cleansed in the manner describedunder preparation of the skin. Catharsis is employed the day. Fig. 324.—Position of Patient for Perineal Operation. Surrounding PartsProtected by Sterile Drapery. before the operation, and no enema is given for six hours beforethe operation (page 41). The position of the patient during the operation most corn- 521 522 GYNECOLOGICAL OPERATIONS BY PERINEAL ROUTE monly employed is the so-called lithotomy posture (Fig. 324).Modern operating tables provide for drainage when this position
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