Virginia medical monthly . ad ligament. Glancing over the literature of the subject, you will seea variety of methods followed in the completion of the ope-ration. The uterus is anteverted, retroverted, or .steadilydrawn down; the broad ligaments are ligated en masse, insections, or compressed by clamps or forceps. The perito-neum is closed by sutures; the mucous membranes suturedor the peritoneum and the mucous edges brought plans of procedure require from one and a half to fourhours for the completion of the operation. We will drawrdown the uterus firmly, introduce a finger be
Virginia medical monthly . ad ligament. Glancing over the literature of the subject, you will seea variety of methods followed in the completion of the ope-ration. The uterus is anteverted, retroverted, or .steadilydrawn down; the broad ligaments are ligated en masse, insections, or compressed by clamps or forceps. The perito-neum is closed by sutures; the mucous membranes suturedor the peritoneum and the mucous edges brought plans of procedure require from one and a half to fourhours for the completion of the operation. We will drawrdown the uterus firmly, introduce a finger behind it, overthe broad ligament, and with this as a guide, pass the firstblade of the accompanying clamp while the other blade ispassed anteriorly, locked, and the ligament compressed inclose proximity to the uterus. 090 COMMUNICATIONS—MONTOOM ERY. Another clamp is applied upon the opposite side, and theuterus cut away between them. A second diagram showsa pair of forceps that may be substituted for the No sutures are introduced, for upon the removal of thesponge the torn edges of the peritoneum are drawn down,and the two surfaces lie in contact. To promote drainage,we introduce a tampon of iodoform gauze and apply a padof the same over the vulva. The duration of the operation has been twenty-five min-utes. The completion of the operation was delayed some-what by the extra size of the fundus. From its size andfeel, it is possible that the disease involves the fundus of theorgan as well. As Prof. Laplace opens it, you see that themucous membrane of the entire body of the organ is theseat of disease. The patient will be put to bed and sur-rounded by bottles of hot water and a hypodermic of atro-pine gr. y^th given to anticipate shock. There is usually amarked reduction of temperature, due most probably to thepressure upon the sympathetic nerves in the broad liga-ments. The clamps will remain in position twenty-four hours; thetampon will be retained forty-eigh
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmedicine, bookyear189
