. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ld be raised into the wound with the hand, not with volsellum orother toothed instruments, unless the point at which they are appliedhas first been infiltrated. A variety of operations are now possible—26 402 LOCAL ANESTHESIA salpingo-oophorectomy, when these parts are free, by lightly infiltratingthe broad ligaments, pelvic and uterine attachments, of the
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. ld be raised into the wound with the hand, not with volsellum orother toothed instruments, unless the point at which they are appliedhas first been infiltrated. A variety of operations are now possible—26 402 LOCAL ANESTHESIA salpingo-oophorectomy, when these parts are free, by lightly infiltratingthe broad ligaments, pelvic and uterine attachments, of these partsalong the proposed line of incision on their anterior and posterior sur-faces (Fig. 114); pedunculated ovarian cysts, when not adherent, arequite easily removed in the same way; subperitoneal fibroids removed,or resection of the body of the uterus performed by first lightly infil-trating the proposed fine of incision; this can often be omitted, as theuterus has very little sensation; ventrosuspension, or fixation, is quiteeasily done, and usually without any discomfort; if any is experienced,fight infiltration can be resorted to on the fundus, where the suturesare to be placed. t-ine of anesthesia. position of ovary ie/iind. Wall cut Fig. 114.—Shows uterus, broad ligament, and attachments. Series of circles showsline of infiltration beneath anterior peritoneal fold of broad ligament. Where this linecrosses uterus, in shaded portion, infiltration is more liberal. On left is seen small linejoining longer one at about right angles, and shows area infiltrated when limited to oneside as in the case of removal of tube and ovary only. Similar infiltrations are madeposteriorly, as described in text. Intra-abdominal operations for purposes of shortening the roundligaments may be done under local anesthesia, but it would be prefer-able to do an external Alexander, unless the cavity has already beenopened. The ligaments may be doubled on themselves and sutured,using fight infi
Size: 2357px × 1060px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
