Cesarean section . ominal cavity is removed and the peritoneal cavitycarefully cleansed of any liquor or blood which may have escaped intoit, and the abdominal wall closed in layers. Transverse Incision of the Fundus.—In 1897 Fritsch suggestedthat a transverse fundal incision be substituted for the ordinary longitu-dinal median incision of the uterus, on the theory that, since the courseof the blood vessels in that region is largely transverse, large vessels areless likely to be injured and hemorrhage will be minimized. Manyoperators have followed his lead, but the results, though excellent, h
Cesarean section . ominal cavity is removed and the peritoneal cavitycarefully cleansed of any liquor or blood which may have escaped intoit, and the abdominal wall closed in layers. Transverse Incision of the Fundus.—In 1897 Fritsch suggestedthat a transverse fundal incision be substituted for the ordinary longitu-dinal median incision of the uterus, on the theory that, since the courseof the blood vessels in that region is largely transverse, large vessels areless likely to be injured and hemorrhage will be minimized. Manyoperators have followed his lead, but the results, though excellent, have 114 CESAREAN SECTION not proved to be any better than those obtained by the ordinary incision,and to-day it is practically abandoned. It has been urged that, if the incision is made in this region, theadhesions between the uterine and abdominal incisions are is undoubtedly true, but the fact that the liability to adhesion be-tween intestine or omentum and the uterine incision is much increased. Fig. 31.—Conservative Cesarean delivered and deep sutures inserted. renders this advantage of distinctly minor importance. Furthermore,it is evident that, in case of infection of the uterine incision, the peritonealcavity is to a certain extent protected by the fact that the uterine in-cision may become adherent to the abdominal wall, and if an abscessforms it can be drained with ease through the abdominal incision, oran extension of it, whereas, if the fundal incision were employed, theseptic material would escape directly into the general peritoneal cavity. OPERATION 5 causing peritonitis and death. In perfectly clean cases this risk is asmall one, but when there is the slightest doubt as to whether infectionis present or not, the transverse incision is absolutely contra-indicated. The only real advantage of this incision would seem to be in cases inwhich it is proposed to sterilize the patient by excision of the tubes fromthe uterine cornua, wh
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