. Operative gynecology. gament; again the sac may have ruptured or may be suppurating. The operation is either radical, removing the fetus, placenta, membranes, andsac, or it is conservative, evacuating the sac of its contents and removing as muchas possible of the extravasated blood without sacrificing either the tube or theovary. The general principles of the radical operation arethese: An abdominal incision. Separation of adhesions enveloping the of blood, fetus, membranes, placenta, and sac. Checking of allhemorrhage. Complete closure of the abdomen without drainage in asepticc
. Operative gynecology. gament; again the sac may have ruptured or may be suppurating. The operation is either radical, removing the fetus, placenta, membranes, andsac, or it is conservative, evacuating the sac of its contents and removing as muchas possible of the extravasated blood without sacrificing either the tube or theovary. The general principles of the radical operation arethese: An abdominal incision. Separation of adhesions enveloping the of blood, fetus, membranes, placenta, and sac. Checking of allhemorrhage. Complete closure of the abdomen without drainage in asepticcases. When the sac is ruptured and clots have formed, drainage by the vaginawithout opening the abdomen, as well as in suppurating cases. In all cases of active hemorrhage from any part of the sac the cardinal ruleis to open the abdomen at once and to control the uterine and ovarian arteriesat points beyond the sac. Active hemorrhage from the sac wall has been temporarily controlled bycompression of the abdominal Fig. 527.— Pregnancy: Tubal Abortion. The bleeding is cheeked by a large coatulum distending and thinning out the tube; the timbriated open-inj5 is greatly distended, but the greater diameter of the clot in the ampulla prevents its escape. Wall oftube averaging one millimeter in thickness. Operation. Kecovery, July T, 1S96. Natural size.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
