Operative gynecology : . rsion sac. If there is nobleeding, the peritoneal sur-faces of the wound may nowbe drawn together with arunning suture, the liga-tures arranged on the rightand the left side, and thevault of the vagina packedwith iodoform gauze. Inversion Due to Malig-nant Disease. — Inversiondue to a malignant tumorof the fundus is rare, andI have seen but one patient (J. H. B., San.,No. 410, Jan. 19, 1897)presented herself on accountof a fetid, watery, blood-tinged discharge which had continued for about a year,with hemorrhages at intervals. I found the whole vagina above th
Operative gynecology : . rsion sac. If there is nobleeding, the peritoneal sur-faces of the wound may nowbe drawn together with arunning suture, the liga-tures arranged on the rightand the left side, and thevault of the vagina packedwith iodoform gauze. Inversion Due to Malig-nant Disease. — Inversiondue to a malignant tumorof the fundus is rare, andI have seen but one patient (J. H. B., San.,No. 410, Jan. 19, 1897)presented herself on accountof a fetid, watery, blood-tinged discharge which had continued for about a year,with hemorrhages at intervals. I found the whole vagina above the levator ani filled with an ovoidmass about 8 by 6 by 4 cm., flattened antero-posteriorly, and attached at thecervix by a pedicle cm. in diameter. The external os formed a sharp rimaround the pedicle, and the depth of the canal was from 2 to cm. (seeFig. 305). Bimanually the uterine body was found absent, and in its place was a pit,which entered the cervical ring, close to which both ovaries could be felt, the. >*»V 0 SI Fig. 365.—Inversion of the Uterus due to , recovery. San., Jan. 19, 1897. INVERSION DUE TO MALIGNANT DISEASE. 645 left one entering it for a short distance. The ovoid body filling the vaginawas made up of the inverted uterine body and a sessile tumor of a light grayishcolor covered with little tags of tissue. In grasping this sessile mass it broke down, and was so friable that theentire enucleation had to be done with the fingers. There was no capsule atall, and no line of demarcation between the mass and the uterine tissue at itsbase, which covered an area of by 2 cm. where the uterus appeared whiteand non-vascular. After seventy-two hours the fundus went up through thecervix, upon releasing a pair of forceps which had detained it, so as to obviatethe risk of hemorrhage, that could not be controlled by suture in the friabletissue. The tumor removed was broken up into a number of irregular pieces, andwas easily penetrate
Size: 1601px × 1560px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
