A textbook of obstetrics . instead of in the anterior abdominal wall,is receiving a practical trial in Germany. There seems to be nodecided advantage ill it except that the uterine wound is as far aspossible lr<»in the cervical canal, and, therefore, from subsequent CESA RE A N SE C 77 ON. 785 contamination. Hut should leakage occur, the woman is de-prived of a safeguard to which she has often owed her life,namely, adhesions between the uterine and abdominal walls. The Choice of Celiohysterectomy or of Celiohysterotomyin a Case Requiring Cesarean Section.—The impression pre-vails that the c
A textbook of obstetrics . instead of in the anterior abdominal wall,is receiving a practical trial in Germany. There seems to be nodecided advantage ill it except that the uterine wound is as far aspossible lr<»in the cervical canal, and, therefore, from subsequent CESA RE A N SE C 77 ON. 785 contamination. Hut should leakage occur, the woman is de-prived of a safeguard to which she has often owed her life,namely, adhesions between the uterine and abdominal walls. The Choice of Celiohysterectomy or of Celiohysterotomyin a Case Requiring Cesarean Section.—The impression pre-vails that the classical conservative Cesarean section, or celio-hysterotomy, is a safer and better operation than the Porro-Cesarean section, or celiohysterectomy—the removal of theuterus after the extraction of the child. It is the general beliefthat hysterectomy should only be performed when a woman hasbeen very long in labor and many futile attempts to extract thechild had been made, probably infecting the endometrium ; if there. Fig. 594.—A, The upper tier of the running catgut stitch ; B, the running Lembertstitch in the peritoneum. is uncontrollable hemorrhage from uterine atony ; in case of in-superable obstacle to drainage of the lochia, as a cancer of thecervix or a bony tumor of the pelvis ; or in the presence of auterine tumor which could only be removed with the uterus. Itis the authors conviction, however, that celiohysterectomy in acase requiring Cesarean section is the preferable operation, witha lower mortality and a greater freedom from complications notonly in the puerperium, but in the patients future existence. It is easy to understand the prejudice against the Porrooperation and in favor of the classical Cesarean section, if onerecalls the history of abdominal and uterine section for the ter-mination of insuperably obstructed 786 OBSTETRIC OPERATIONS. During the first two hundred and sixty-six years in whichCesarean section was practised upon the living w
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
