Treatise on gynæcology : medical and surgical . a groove which resembles Reverdins; the point is blunt. Hefirst ties the broad ligaments with chain sutures. He then dividesthem and applies the elastic cord, the ligatures nearest the uterusbeing left long and the elastic cord passed over them (Fig. 156). TREATMENT OF FIBROUS TUMORS OF ABDOMINAL EVOLUTION. 295 In the excision of the tumor a small musculo-peritoneal lip is pre-served both before and behind (Fig. 157), and the cavity of the uterusand cervix are cauterized with the thermo-cautery. A sharp needleis then threaded and a series of part
Treatise on gynæcology : medical and surgical . a groove which resembles Reverdins; the point is blunt. Hefirst ties the broad ligaments with chain sutures. He then dividesthem and applies the elastic cord, the ligatures nearest the uterusbeing left long and the elastic cord passed over them (Fig. 156). TREATMENT OF FIBROUS TUMORS OF ABDOMINAL EVOLUTION. 295 In the excision of the tumor a small musculo-peritoneal lip is pre-served both before and behind (Fig. 157), and the cavity of the uterusand cervix are cauterized with the thermo-cautery. A sharp needleis then threaded and a series of partial ligatures passed, of which thefigure (155) gives a sufficient explanation. The peritoneum is closed bya series of superficial sutures (Fig. 158). Drainage through the vaginaby the cross-tube is necessary only when there is persistent oozing. Mixed Method (It might also be called juxta-parietal).—Owing tothe difficulty which some surgeons have found in fixing a short pedi-cle in the abdominal wound, it has been abandoned within the cavity. Fig. 157.—Ligature of the Pedicle by Zweifels Method. Showing theform of the incision by which the pedicle is formed. Fig. 158. — Ligature opthe Pedicle by ZweifelsMethod. Showing theco-aptation by the partial lig-atures and the superficialperitoneal sutures. of the abdomen as in the successful case of Kleeberg, of Odessa, whomI have cited as the inventor of the elastic ligature, and who in 1887allowed a thick and short stump to drop back into the peritonealcavity, bringing out the ends of the constricting ligature through thelower angle of the abdominal wound. Pean has at times left a bundleof forceps projecting from the abdomen, with success. But these wereall procedures of necessity. Fixation of the pedicle immediately be-low or in the thickness of the abdominal walls, with permanent com-munication exteriorly at this level, has been lately proposed andcarried out as a procedure of choice, with the intention of permittingexaminati
Size: 1996px × 1252px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
