Gynecology . Fig. 339.—Vaginal broad ligament and the upper part of the parametrium have been divided. The underpart of the parametrium and posterior vaginal wall are about to be divided (adapted from Doderlein-Kronig). HYSTERECTOMY OPERATIONS 633 during the days intervening before the radical operation. The cancerousmasses are removed with a large curet, but the curet is not carried too deeply. NM^.Gv^W3X ^fi Fig. 340.—Vaginal of the posterior vaginal wall (adapted from Doderlein-Kronig) into the surrounding tissue wall, for if this is made too thin it i
Gynecology . Fig. 339.—Vaginal broad ligament and the upper part of the parametrium have been divided. The underpart of the parametrium and posterior vaginal wall are about to be divided (adapted from Doderlein-Kronig). HYSTERECTOMY OPERATIONS 633 during the days intervening before the radical operation. The cancerousmasses are removed with a large curet, but the curet is not carried too deeply. NM^.Gv^W3X ^fi Fig. 340.—Vaginal of the posterior vaginal wall (adapted from Doderlein-Kronig) into the surrounding tissue wall, for if this is made too thin it is liable to be rup-tured by the tension on the uterus necessary in the course of the later important reason for a not too thorough cureting is the possible danger 634 GYNECOLOGY of penetrating the peritoneal cavity, an accident which, on account of the viru-lent organisms always contained in the cancerous mass, is almost inevitablyfollowed by a fatal peritonitis. The preliminary operation should be regarded also as a cureting and notas a cauterization, for if the latter is done a slough is produced, which duringits separation produces an unclean discharge, that acts as a source of dangerduring the later operation. After cureting away the cancerous masses the
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