Treatise on gynæcology : medical and surgical . ith Collins joint. rary measure; nevertheless, in cases of necessity, it has been utilized forthe permanent arrest of hemorrhage. Pean leaves the forceps in theperitoneal cavity after abdominal hysterectomy, gathering the handlesinto a bundle at the lower extremity of the wound; this process is,however, inferior to the use of buried elastic ligatures. Forcipressure has been used by many surgeons as a matter of ne-cessity in vaginal hysterectomy (Pean, Buffet, J. Boeckel, Ch. Jen-nings), but it remained for Spencer Wells26 and Jennings 27 to sugge
Treatise on gynæcology : medical and surgical . ith Collins joint. rary measure; nevertheless, in cases of necessity, it has been utilized forthe permanent arrest of hemorrhage. Pean leaves the forceps in theperitoneal cavity after abdominal hysterectomy, gathering the handlesinto a bundle at the lower extremity of the wound; this process is,however, inferior to the use of buried elastic ligatures. Forcipressure has been used by many surgeons as a matter of ne-cessity in vaginal hysterectomy (Pean, Buffet, J. Boeckel, Ch. Jen-nings), but it remained for Spencer Wells26 and Jennings 27 to suggestits use as a matter of choice, and for Bichelot to systematically adopt METHODS OF SUTURE AND IIJEMOSTASIS. 67 it as such, even where ligature would be easier and, seemingly, pre-ferable. Many surgeons now do the same. I shall return to this sub-ject in the chapter upon uterine cancer.^8 I would only observe inthis connection that hsemostasis by permanent forcipressure, when inmass, is always followed by the death of a much greater amount of. Fig. 48.—1, Billroths forceps for the compression of fleshy pedicles (hysterectomy). Medium size, one-fifth actual size; 2, Spencer Wells1 forceps for forcipressure in mass of pedicles (ovariotomies). tissue than when applied to isolated ligature. From the antisepticpoint of view, it is inferior to ligature. Drainage.—This is not the place to discuss the indications fordrainage, whether of reunited superficial wounds or of the peritonealcavity. I would simply establish a few general principles and pointout the practical methods for their application. 68 CLINICAL AND OPERATIVE GYNAECOLOGY. Drainage of Wounds.—In a suture in layers (etages) of the ab-dominal cavity after laparatomy, it is usually not necessary to place adrainage tube between each series of stitches. Yet it is well to do soif the surface of the cut has been exposed to infection, for instance,from pus; for in this case, notwithstanding the most energetic aseptic
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