Gynecology . arly normal than doesany other operation. It is also devoid of danger from childbirth or from com-plications of intestinal obstruction. The operation is performed in the Trendelenburg position. The broad liga-ment of the right side is pierced by a half-length clamp at a point close to theuterus and directly under the ovarian ligament. The round ligament is thengrasped by thumb forceps at a point about one-third of the length of the ligament 586 GYNECOLOGY from the uterine end. The ligament is carried by means of thumb forceps intothe bite of the perforating clamp, which thus seize
Gynecology . arly normal than doesany other operation. It is also devoid of danger from childbirth or from com-plications of intestinal obstruction. The operation is performed in the Trendelenburg position. The broad liga-ment of the right side is pierced by a half-length clamp at a point close to theuterus and directly under the ovarian ligament. The round ligament is thengrasped by thumb forceps at a point about one-third of the length of the ligament 586 GYNECOLOGY from the uterine end. The ligament is carried by means of thumb forceps intothe bite of the perforating clamp, which thus seizes the ligament and draws itthrough the perforated opening to the posterior wall of the uterus. The roundligament of the left side is then drawn through an opening in the left broad liga-ment in exactly the same manner. The loops of the two round ligaments arenext sutured together, several stitches being also placed to unite them to theposterior wall of the uterus. Care must be taken to attach the ligaments at. Fig. 287.—Baldy-Webster Operation for Retroversion. An opening is made through the broad ligament just under the suspensory ligament of the ovary. A half-length forceps passed through the opening grasps the round ligament and draws it backward. just the right level on the back of the uterus, for if the attachment is too lowthe uterus may become retroflexed over the ligaments, and if the attachmentis made too high there is danger of causing an anteflexion of the uterus. Theperforation of the broad ligaments and the suture of the round ligaments mustbe done with as little damage to the peritoneum as possible, for otherwise thereis liability of adhesions of the ovaries, a complication for which the operationhas been criticized. OPERATIONS FOR UTERINE MALPOSITION 587
Size: 1631px × 1532px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
