A textbook of obstetrics . e found on theright side When the abdomen was opened, it was foundthat all the pelvic organs and the pelvic peritoneum were per-fectly healthy. There was a large collection of pus between thelayers of the right broad ligament, giving to this structure adome shape. The tube and ovary running over the top ot the PUERPERAL SEPSIS. 695 distended broad ligament were perfectly healthy and without atrace of adhesion or inflammation of any kind. With the abdo-men opened it was easy to locate the level of the anterior dupli-cation of the peritoneum. A mark was made on the ski
A textbook of obstetrics . e found on theright side When the abdomen was opened, it was foundthat all the pelvic organs and the pelvic peritoneum were per-fectly healthy. There was a large collection of pus between thelayers of the right broad ligament, giving to this structure adome shape. The tube and ovary running over the top ot the PUERPERAL SEPSIS. 695 distended broad ligament were perfectly healthy and without atrace of adhesion or inflammation of any kind. With the abdo-men opened it was easy to locate the level of the anterior dupli-cation of the peritoneum. A mark was made on the skin aninch below this point, the abdominal wound was closed, an inci-sion was made in the groin, as shown in the drawing, and thepus washed out by douching. Sinuous tracts of suppurationwere found by the finger running up the psoas muscle and downinto the floor of the pelvis. Two drainage-tubes were inserted,one upward into the psoas muscle, the other downward into thepelvis. In the course of this womans convalescence it was. *g- 494-—Exp >ry abdominal section ; incision in groin for extraperitonealabscess (authors case). found advisable to make a counteropening in the right lateralfornix of the vagina, and to pass a drainage-tube through fromthe opening in the groin to the vagina. In this way perfectdrainage was established, and the patient made a good of true extraperitoneal pelvic abscess due to puerperalinfection, and without intraperitoneal inflammation, are are some gynecologists who deny their existence, butthe writer has had six rases under his charge in which thediagnosis was established by abdominal section. 696 PATHOLOGY OF THE PUERPERIUM. The Morbid Anatomy and Clinical History, the Diagnosisand Treatment of the Different Forms of Infection and SepticInflammation of the Genital Region After Labor.—The mani-festations of puerperal sepsis differ with the various infectingbacteria that are lodged in the genital tract or have invaded thesy
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
