The pathology and surgical treatment of tumors . insecurity against second-ary hemorrhage from slipping of the forceps and inability to carry outaseptic precautions to the required extent. The writer has always reliedon the ligature, and has had no reason to change his views concerningits superiority over the forceps in the permanent arrest of hemorrhagein vaginal hysterectomy. Extirpation of the carcinomatous uterus through the sacral routewas first practised by Hochenegg and is strongly endorsed by sacral resection is made in the same way as advised by Kraske forextirpation of car
The pathology and surgical treatment of tumors . insecurity against second-ary hemorrhage from slipping of the forceps and inability to carry outaseptic precautions to the required extent. The writer has always reliedon the ligature, and has had no reason to change his views concerningits superiority over the forceps in the permanent arrest of hemorrhagein vaginal hysterectomy. Extirpation of the carcinomatous uterus through the sacral routewas first practised by Hochenegg and is strongly endorsed by sacral resection is made in the same way as advised by Kraske forextirpation of carcinoma of the rectum. The sacral operation wouldcertainly appear to present great advantages when the lymphatic glandsand the connective tissue behind the uterus have become infected, as itsecures better access to the retro-uterine tissues than does the vaginaloperation. Extraperitoneal enucleation, first practised by the older Langenbeck,and recently revived by Frank and Lane, has no future in the operativetreatment of carcinoma of the Fig. 250.—Vaginal hysterectomy : application of for-ceps and section of the base of the broad ligament (afterPean). 366 PATHOLOGY AND TREATMENT OF TUMORS. In inoperable cases of carcinoma of the cervix and uterus—and assuch should be considered all cases in which, from the extent of thedisease, complete removal of all infected tissues cannot be effected byeither vaginal or sacral hysterectomy—the removal of fungous masseswith a sharp spoon, followed by thorough cauterization with thePacqueHn cautery, constitutes an important palliative measure. External Female Genital Organs.—Carcinoma of the external gen-ital organs of the female is a comparatively rare affection. Its primary starting-point may be either thelabium majus, the labium minus,or the clitoris. Among 7479women suffering from carci-noma, Winckel found that thevulva was the primary seat of thedisease in 72, or about 10 percent, of all the cases. The tu-mor begins as a f
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
