Pathology and treatment of diseases of women . Pig. 34.—Patient Upon a Stille Operating Table in a Dorso-gluteal Position for a Vaginal Operation. extreme length provided with electric lights. They have, however, notbeen tested for practical purposes. The large abdominal specula of Fritsch or Stoeckel are used for holdingapart the abdominal walls in laparotomies. We see a special advantage in the use of continuous irrigation of thefield of operation with a sterile table-salt solution in all vaginaloperations. GENERAL OPERATIVE TECHNIC 49 This solution is heated to 37° C. (° F.) and pl
Pathology and treatment of diseases of women . Pig. 34.—Patient Upon a Stille Operating Table in a Dorso-gluteal Position for a Vaginal Operation. extreme length provided with electric lights. They have, however, notbeen tested for practical purposes. The large abdominal specula of Fritsch or Stoeckel are used for holdingapart the abdominal walls in laparotomies. We see a special advantage in the use of continuous irrigation of thefield of operation with a sterile table-salt solution in all vaginaloperations. GENERAL OPERATIVE TECHNIC 49 This solution is heated to 37° C. (° F.) and placed in a large sterileglass irrigator situated on a firm stand by the side of the operating rubber tube sterilized by boiling conducts the solution to the operationfield. At its end is fastened a long, thin metal tube provided with acock, which permits a very fine stream upon the desired part or the areaof operation, The blood is thus immediately washed away, as well as. Ik Fig. 35.—Patient Upon a Stille Operating Table in Elevated Pelvic (Trendelenburgs) Position for Laparotomy. infectious fluids, pus, etc. We obtain in this way a clear view at alltimes and spare the time lost in sponging. We have not observed withit any damage to the tissues or healing of the wound. We make extensive use of the sound forceps of Orthmann (Fig. 32)in order to stretch better the anterior vaginal walls in vaginal coeliotomy(Colpotomia anterior). It puts the uterus in a decided anteversion andthus brings the anterior vaginal wall with the bladder outward. Thevagina can easily and conveniently be dissected off and the bladder 50 DISEASES OF WOMEN pushed back. The instrument must be removed before the uterus isbrought down after opening of the peritoneum. Fig. 33 gives a picture of a patient prepared for a vaginal operation,the portio vaginalis has been caught and brought down, the vagina isexposed with a speculum. The surroundings of the field of operationare covered wi
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
