. Annals of surgery . s from the employment of complete hysterectomy forthese lesions. The disadvantages, as we have seen them, have been first the excessiveoozing from the cervix during the process of coring, resulting often in apooling of blood at the bottom of the i)elvis and producing a somewhat messycondition at this stage of the procedure. This we have in some measureovercome by folding a towel into a trianglar shape and introducing the apexinto the fossa of Douglas so that any ooze is caught in the hollow of thetowel so placed. This oozing has been immediately controlled as soon as thel
. Annals of surgery . s from the employment of complete hysterectomy forthese lesions. The disadvantages, as we have seen them, have been first the excessiveoozing from the cervix during the process of coring, resulting often in apooling of blood at the bottom of the i)elvis and producing a somewhat messycondition at this stage of the procedure. This we have in some measureovercome by folding a towel into a trianglar shape and introducing the apexinto the fossa of Douglas so that any ooze is caught in the hollow of thetowel so placed. This oozing has been immediately controlled as soon as theligaments have been introduced into the large opening in the cervical shelland the cervical mattress suture introduced and tied. It has been our experience that the additional step of cervix coring hasadded perhaps a few minutes more to the time of the operation. This addi-tional time is less in our hands, however, than that required to perform acomplete hysterectomy for a benign lesion of the uterus. CI FRANK H. LAHEY. Fig. I.—Shijwiri^^ 111. I ii - . -?,,?. incisions just within the outer- most boundaries of tlic eervuul waii. i nc l-l-i ^ ia ta draKg<;vl up as each circular incision frees it fromthe remaining wall, until not a wedge but practically the entire cervix is removed. Note the lateraltraction made by the double hooks to accomplish exposure for the next circular incision. 62 INTRACERVICAL ENUCLEATION Because of the fact that a thin shell of the cervix, even though it be onlythe junction of cervix with vaginal mucosa, is left, the occurrence of carci-noma in the remaining cervical stump is a possibility with this technic as wellas in the routine supracervical hysterectomy, where it is by no means , even with this possibility in mind, we do not feel that complete
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
