A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . ed water, areinserted to keep the intestines from the abdominal one or two fingers the operator liberates the tube andovary (if adherent) and brings them out of the abdominalincision. The ovarian artery being very vascular, it is desir-able, when feasible, to isolate it and tie it separately withmedium-sized sterilized silk. The pedicle is transfixed by theligature-carrier; a stout, sterilized, Chinese-silk ligature isbrought through, the ends are crossed and firmly tie
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . ed water, areinserted to keep the intestines from the abdominal one or two fingers the operator liberates the tube andovary (if adherent) and brings them out of the abdominalincision. The ovarian artery being very vascular, it is desir-able, when feasible, to isolate it and tie it separately withmedium-sized sterilized silk. The pedicle is transfixed by theligature-carrier; a stout, sterilized, Chinese-silk ligature isbrought through, the ends are crossed and firmly tied, afterthe usual manner. The appendages are then removed. 198 OBSTETRIC SURGERY. The tube and ovary of the opposite side are next exam-ined, and, if diseased, are similarly tied off. The pads are now removed from the abdominal the operation has not been associated with haemorrhage, it isnot necessary to mop out or to irrigate the field of case the pulse is flagging, however, irrigation with the saltsolution should be resorted to. The abdominal incision is closed by deep silk-worm-gut. Fig. 84.—Emergency Trendelenburg Posture. (The inclined plane is formed byan ordinary chair being tied on a kitchen-table.) sutures transfixing all the tissues and including carefully thefascia of the recti. In the event of the woman not being seen until tubal rupt-ure has occurred, the surgical treatment must be immediate ifthe haemorrhage be intra-peritoneal. The steps of the opera-tion are similar to those just stated, except that, on opening theperitoneal cavity, no time should be lost in grasping the rupt-ured tube and tying it off, for this is the source of the haemor-rhage. The peritoneal cavity should then be irrigated withhot, sterile salt-solution to act as a restorative and to wash out ECTOPIC GESTATION. 199 the major portion of the blood and clots. What must perforcebe left behind the peritoneum will take care of, unless it beseptic. Where this possibility is
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Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
