. A new manual of surgery, civil and military. rst principle is,of course the prevention of infection. This may be accomplished very easily,as the only source of infection connected with the operation itself is theuterine canal, and infection from this may easily be avoided with care. The next important point to be observed is the control of uterus is supplied with blood by two small arteries on each side; theovarian approaching it through the upper part of the broad ligament oneach side, and the uterine artery approaching it from each side lower vessels are ordinaril
. A new manual of surgery, civil and military. rst principle is,of course the prevention of infection. This may be accomplished very easily,as the only source of infection connected with the operation itself is theuterine canal, and infection from this may easily be avoided with care. The next important point to be observed is the control of uterus is supplied with blood by two small arteries on each side; theovarian approaching it through the upper part of the broad ligament oneach side, and the uterine artery approaching it from each side lower vessels are ordinarily not larger than a good-sized knitting needleand are consequently of no importance, provided they are recognized and 616 SURGERY OF THE FEMALE PELVIS carefully ligated. The method to be employed for the control of hemorrhagewill depend upon the choice of plan for removal; with the uterus, the Fallo-pian tubes and ovaries, which is always indicated in patients over fortyyears of age; or the removal of the uterus without the ovaries and tubes,. ^x-t Abdominal Hysterectomy. a uterus; 6 forceps on broad ligament; c Fallopian tube; d forceps on uterine side ofbroad ligament; e forceps on ovarian side of broad ligament; / bladder; i round ligament;o ovary. indicated in younger patients in whom these organs in themselves are notdiseased. Technique. If the ovaries and tubes are to be removed with the uterus, twopairs of long-jawed, strong hemostatic forceps should be applied to the broadligament, side by side, just externally to the ovary. They should extend par-allel to each other with a space of one-half to three-fourths of an inch between SURGERY OF THE FEMALE PELVIS 617 them. The points of these forceps should extend to the body of the should be done alike on both sides; then the tissues between these for-ceps is severed and the uterus, ovaries and tubes, grasped by the two pairsof forceps which are nearest together, can be elevated. The broad ligament r
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