. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. -Resection of ovary. Sutures tied just tightly enough to controlbleeding. No sutures at broad ligament. impossible. For thicker pedicles many methods of Hgationhave been advised, but any method is safe which controls thevessels after the stump is returned to the abdomen. A satisfactory plan is to perforate the pedicle immediatelybehind the clamp and tie it in halves, one tie then being thrownaround the entire stump, always remembering to loosen theclamp as the first turn of the knot is drawn down. 432 DISEA


. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. -Resection of ovary. Sutures tied just tightly enough to controlbleeding. No sutures at broad ligament. impossible. For thicker pedicles many methods of Hgationhave been advised, but any method is safe which controls thevessels after the stump is returned to the abdomen. A satisfactory plan is to perforate the pedicle immediatelybehind the clamp and tie it in halves, one tie then being thrownaround the entire stump, always remembering to loosen theclamp as the first turn of the knot is drawn down. 432 DISEASES OF THE OVARIES If greater security is desired the latter part of this ligaturemay be made as a suture which takes a thin bite of peritoneum. Fig. 217.—Ovariotomy. Clamping and tying pedicle in halves.


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Keywords: ., bookcentury1900, bookdecade1910, bookidman, booksubjectgynecology