Gynecology . approached last, and as the dissectionis carried across this portion the tumor usually collapses and discharges its con-tents. It is not always possible to enucleate the entire tumor without ruptur-ing the capsule before crossing the duct; nevertheless, if this can be done, theresults of the operation are much more satisfactory. If the capsule has col-lapsed it must be removed from the depth of the wound in ragged shreds, rem-nants of which if left behind are liable to be the source of a future recurrence. OPERATIONS ON THE VULVA 513 In dissecting out a fresh gonorrheal abscess it
Gynecology . approached last, and as the dissectionis carried across this portion the tumor usually collapses and discharges its con-tents. It is not always possible to enucleate the entire tumor without ruptur-ing the capsule before crossing the duct; nevertheless, if this can be done, theresults of the operation are much more satisfactory. If the capsule has col-lapsed it must be removed from the depth of the wound in ragged shreds, rem-nants of which if left behind are liable to be the source of a future recurrence. OPERATIONS ON THE VULVA 513 In dissecting out a fresh gonorrheal abscess it should be remembered thatthe pus is often under considerable tension. If the abscess is accidentally rup-tured the eyes of the operator, which are necessarily in a position near the fieldof operation, are in much danger of infection from the spurting pus. Before closing the wound great care should be taken to stop all the hemor-rhage with ligatures of fine catgut. If the bleeding cannot be controlled in this.
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