. Operative gynecology. of these cysts in the course of a preliminary examination, and found but a fewcubic centimeters of blood, serum, and a flaccid collapsed cyst with a wide rentin its wall. If the sac does not yield to a moderately firm pressure, the effort should beabandoned and the cyst tapped througli the vagina. Before tapjiing, the vaginamust be cleansed tlioroughly with soap and water ; then a long trocar and can-nula attached to an aspirator is introdiiced guided by the finger, which rests onthe tumor at the vault of the vagina; an assistant, by making pressure above,brings the cys
. Operative gynecology. of these cysts in the course of a preliminary examination, and found but a fewcubic centimeters of blood, serum, and a flaccid collapsed cyst with a wide rentin its wall. If the sac does not yield to a moderately firm pressure, the effort should beabandoned and the cyst tapped througli the vagina. Before tapjiing, the vaginamust be cleansed tlioroughly with soap and water ; then a long trocar and can-nula attached to an aspirator is introdiiced guided by the finger, which rests onthe tumor at the vault of the vagina; an assistant, by making pressure above,brings the cyst firmly down onto the vaginal finger, while the operator pushesthe trocar and cannula into the now prominent convex suiface close to anda little behind the cervix, in a direction upward and slightly trocar is withdrawn and the fluid evacuated thiough the evacuation the cannula is withdrawn and the vagina loosely packedwith iodoform gauze. There is no reaction following so slight an CvsTic Graafian Follicle ((?) in the Same 0 The cysts are buckled together and were developedfrom the outer extremity of the ovary (0) on both sidesof the tubo-ovarian fimbria. The tube is held rigid,stretched out in the sulcus between the cvsts. May 16,1890. Natural size. 180 CONSERVATIVE OPERATIONS ON THE TUBES AND OVARIES. When such a cyst is ruptured or evacuated in this way it does not, as a rule,refill. After rupture the patient should be kept in bed two or three days and havethe bowels freely opened. The operation for the removal of the cyst by celiotomy is a simple one. Ifit is small and can be easily brought out of the incision without rupture, this maybe done, but if it is large it is better to tap the cyst and empty it and draw it outin a collapsed condition, rather than to enlarge a small incision. Laying theovary with the cyst on a small pad, the cyst is then exsected, and as it usuallylies attached to the superficial free portion of the ovary, thi
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
