A textbook of obstetrics . Fig. 491.—Suppurative cellulitis of broad ligament; hysterectomy (authors case). in such a case as that represented in figure 492. There wereabscesses in the uterine wall, directly under the peritoneal en-velope, about to break into the peritoneal cavity ; one, indeed, didrupture during the operation. There was a septic ulceration atthe placental site so nearly perforating the uterine wall that by a. Fig. 492. —Suppurative and ulcerative metritis, salpingitis; hysterectomy[authors case 1. light touch during the operation the forefinger passed into theuterine cavity.
A textbook of obstetrics . Fig. 491.—Suppurative cellulitis of broad ligament; hysterectomy (authors case). in such a case as that represented in figure 492. There wereabscesses in the uterine wall, directly under the peritoneal en-velope, about to break into the peritoneal cavity ; one, indeed, didrupture during the operation. There was a septic ulceration atthe placental site so nearly perforating the uterine wall that by a. Fig. 492. —Suppurative and ulcerative metritis, salpingitis; hysterectomy[authors case 1. light touch during the operation the forefinger passed into theuterine cavity. There was also a pyosalpinx in this case that,judging by the history, antedated r was coincident with impreg-nation. The operation saved the patient. In another success-ful hysterectomy for puerperal sepsis, the author found the womb PUERPERAL SEPSIS. 693 completely ruptured at the fundus from tube to tube. The diag-nosis of the injur\- had not been made. The operation wasundertaken some weeks after labor, for what was thought tobe an intraperitoneal abscess. .Areas of suppuration were dis-covered, but the greater bulk of the inflammatory mass wasexudate which had shut off the general peritoneal cavity frominfection through the gaping uterine wound. Indications for the Operation.—The indications for hysterec-tomy during puerperal sepsis are furnished by the condition ofthe pelvic organs when they are expose
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
