Treatise on gynaecology : medical and surgical . ary conges-tion, eschars on the sacrum) and have the patients leave their beds andtake a sitting posture soon after the operation, as F. Barnes ^^ cured a woman of sixty-four years by operation; Davis ^^records a successful operation at sixty-five years, Pinnock ^^ at sixty-seven, Josephson ^3 at seventy-six. Terrier ^^ at seventy-seven, Owen ^^ TREATMENT OF OVARIAN CYSTS. 151 at eighty, Hoffmann ^^ at eighty-two, and Homans at eighty-twoyears and four months. Technique of Ovariotomy. Cysts loith Pedicles.—For preliminaryprecauti
Treatise on gynaecology : medical and surgical . ary conges-tion, eschars on the sacrum) and have the patients leave their beds andtake a sitting posture soon after the operation, as F. Barnes ^^ cured a woman of sixty-four years by operation; Davis ^^records a successful operation at sixty-five years, Pinnock ^^ at sixty-seven, Josephson ^3 at seventy-six. Terrier ^^ at seventy-seven, Owen ^^ TREATMENT OF OVARIAN CYSTS. 151 at eighty, Hoffmann ^^ at eighty-two, and Homans at eighty-twoyears and four months. Technique of Ovariotomy. Cysts loith Pedicles.—For preliminaryprecautionary measures, see page 17 et seq., Vol. I. It seems to me that the frequent use of laxatives both before andafter the operation is sufficient to assure antisepsis of the digestivetract, so strongly insisted upon by Terrier; it is only in exceptionalcases, especially where there has been evacuation of purulent matterthrough the rectum, that I administer naphthol /? and salicylate of bis-muth to thoroughly disinfect the intestines. Bowl ofbichloride1 :1,000. Surgeon. Table with trough for instruments and compresses. Fig. 44.—Arrangement op Assistants and Furnittre for Laparatomt. Many surgeons will not undertake ovariotomy unless they aresurrounded by a comi^lete armamentarium of instruments—forceps ofevery shape and size, bistouries, scissors, retractors, needle-holders, seems to me advisable to reduce the number of instruments usedto those which are absolutely necessary, in order as far as possible toavoid infection. It will be quite sufficient to have: Good bistouries;dissecting forceps; a female and a male catheter; a grooved director;scissors, one pair curved laterally; a few ordinary haemostatic for-ceps ; long forceps, straight and curved, for adhesions; two of Nela- 153 CLINICAL AND OPERATIVE tons cyst forceps; one Museux forceps; one trocar; one pair ofneedle-holder forceps; needles, and one blunt mounted needle; silk,catgut, and g
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