. Operative gynecology. nd pelvic peritonitis, 15 (oncewith dermoid cyst); endometritis, pain, and hemorrhages not relieved by a pre-vious salpingo-oophorectomy, 2 ; tuberculosis of ovaries aud tubes, 3. Out of sixty-five cases of pelvic abscess treated by a free vaginal incision anddrainage I found it necessary at a later date to resort to the radical plan of ex-tirpating uterus, tubes, and ovaries in live cases. This most radical procedure must be carefully guardedby operating only upon suitable and stringent indica- 23G INDICATIONS FOR OPERATION. 237 t i o n s. In young women, when the ovar
. Operative gynecology. nd pelvic peritonitis, 15 (oncewith dermoid cyst); endometritis, pain, and hemorrhages not relieved by a pre-vious salpingo-oophorectomy, 2 ; tuberculosis of ovaries aud tubes, 3. Out of sixty-five cases of pelvic abscess treated by a free vaginal incision anddrainage I found it necessary at a later date to resort to the radical plan of ex-tirpating uterus, tubes, and ovaries in live cases. This most radical procedure must be carefully guardedby operating only upon suitable and stringent indica- 23G INDICATIONS FOR OPERATION. 237 t i o n s. In young women, when the ovaries are not diseased, they must be lefthi the pelvis, confining the enucleation to the tubes and the uterus. The removal of the uterus mth the tubes and ovaries is to be recommended,because without the ovaries it is a useless organ, which may of itself, at a laterdate, become the source of such serious disturbances as to require its almost all pelvic inflammatory cases the uterus is traceable as the avenue of. OF MvoMATons Dterus, Ovaries, and Tubes with a Left Ovarian Cys The uterus is filled with niyomata, and the left ovary is converted into a large ovarian cyst. C, cervix;F, fundus. The dotted line is the median line of the body. No. 443. ^ natural size. infection, and the retention of an infected subinvoluted uterus often insures thepersistence of a leucorrheal discharge, protracted hemorrhages, and a sense ofweight and pelvic discomfort, which seriously mar the result of the operation. In addition to these reasons, many of the uteri operated upon for these con-ditions are lifted out of beds of adhesions, and when freed present, on the ab-dominal side, an extensive raw surface Avhich is liable to contract adhesions withcontiguous intestines. In a large percentage of cases, too, not only the tubesand the ovaries are infected, l)ut the uterine cornua as well, necessitating at leasta partial amputation if the uterus is left behind. The backward displacement of the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
