Clinical notes on uterine surgery : with special reference to the management of the sterile condition . f amputating anelongated conoid cervix, for the purpose of augmentingthe chances of conception, 1 feel that it is important tosimplify the operation as much as possible. The ampu-tation of the cervix by scissors, as I have always doneit, is easy enough in the hands of a practised surgeon, butevery one will not find it always so easy to make a goodeven stump by this method. I have not been able toget a pair of scissors curved sufficiently to do the workneatly. But I think I have at last hit u
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . f amputating anelongated conoid cervix, for the purpose of augmentingthe chances of conception, 1 feel that it is important tosimplify the operation as much as possible. The ampu-tation of the cervix by scissors, as I have always doneit, is easy enough in the hands of a practised surgeon, butevery one will not find it always so easy to make a goodeven stump by this method. I have not been able toget a pair of scissors curved sufficiently to do the workneatly. But I think I have at last hit upon somethingbetter, which I would term the uterine guillotine. Thisinstrument is made in London by Mayer, and in Parisby Charriere. The idea of the uterine guillotineoccurred to me in this way. In July last (1865) my 220 UTERINE SURGERY. friend Dr. Henry Bennet invited me to amputate ajelongated hypertrophied cervix in a patient of his whohad had procidentia for a long time. The cervix pro-jected from the vulva about an inch and a half. It wasnecessary to remove three-fourths of an inch of it. Fig. 87. Bennet held the uterus firmly with a double tenaculumforceps (fig. 87), seizing the cervix antero-posteriorly,just above the point of election for the amputation. Ithen caught hold of the end of the cervix, and with abistourie cut it instantly off. The stump was coveredover with mucous membrane in the usual way withsilver sutures. The operation was done so quickly andwithal so neatly, that I immediately said, u Why shouldwe not have an instrument, like those for the tonsils,to amputate the cervix all at once, while the organ is insitu? This idea I gave to Mr. Mayer, and fig. 8brepresents the instrument. It consists simply in addinga blade to the ecraseur. At first I had a wire to con-strict the part to be amputated, but I found that itwould bend a little from a right line when tightened,and so strike the edge of the knife as it was pushedforwards; then, at M. Charrieres sug
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