The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita01will Year: 1921 Vaginal Ovariotomy in the Marc 265 plication of 1:1000 aqueous sublimate solution to the exter- nal parts and for a short distance inside the vulvar lips and to the clitoris. Do not introduce irritant disinfectants into the healthy vagina nor deeply into the vulva, as they may cause severe straining during and subsequent to the opera- tion and, by injuring the vulvo-vaginal mucosa, favor subse- quent infection of the vaginal vound. The vagina may with benefit be flushed out me
The diseases of the genital The diseases of the genital organs of domestic animals diseasesofgenita01will Year: 1921 Vaginal Ovariotomy in the Marc 265 plication of 1:1000 aqueous sublimate solution to the exter- nal parts and for a short distance inside the vulvar lips and to the clitoris. Do not introduce irritant disinfectants into the healthy vagina nor deeply into the vulva, as they may cause severe straining during and subsequent to the opera- tion and, by injuring the vulvo-vaginal mucosa, favor subse- quent infection of the vaginal vound. The vagina may with benefit be flushed out mechanically with per cent, salt or soda solution. Wash away the sublimate solution with a tepid per cent, soda bicarbonate solution, and fill the vulvo-vaginal canal with the same. After thorough disinfection of the hands and arms, remove the disinfectants by washing in sterile soda solution, which at the same time renders the Fig. 76—Colin's scalpel. hand unctuous and readily introduced through the vulva. Armed with the guarded sterilized scalpel. Fig. 76, intro- duce the hand into the vagina promptly and when the organ is well 'ballooned,' unsheath the knife. Place it just above the OS uteri, parallel to the long axis of the uterus, a few mm. to the right or left of the median line in order to avoid a loose fold of mucous membrane generally existing there. Hold the blade vertical—that is, with the cutting surface parallel to the longitudinal muscular fibers of the vagina— and, guarding the possible extent of its introduction with the thumb and fingers, push it directly forward with a quick thrust through the vaginal mucosa, the muscular walls, and the peritoneum, until the disappearance of resistance indicates that the latter has been penetrated. This is the most critical step in the operation. If the hand is introduced into the vagina immediately after the injection of the sterile saline solution, the vagina
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