. Pelvic inflammation in women. rine incision extraperitoneal. These patients have made smoothrecoveries and have menstruated regularly without pain, bladder disturb-ance, or other pelvic symptoms. Radical Treatment.—We have seen, in the study of the pathologyof chronic tubal inflammation, that the uterus and ovaries are alwaysmore or less involved in the inflammatory process, and at times are actu-ally infected and remain infected, even after the source of the uterineand peritoneal infection has been removed. Hence, we may have ovaries,not only in bad company, but actually diseased. 172 PELVI
. Pelvic inflammation in women. rine incision extraperitoneal. These patients have made smoothrecoveries and have menstruated regularly without pain, bladder disturb-ance, or other pelvic symptoms. Radical Treatment.—We have seen, in the study of the pathologyof chronic tubal inflammation, that the uterus and ovaries are alwaysmore or less involved in the inflammatory process, and at times are actu-ally infected and remain infected, even after the source of the uterineand peritoneal infection has been removed. Hence, we may have ovaries,not only in bad company, but actually diseased. 172 PELVIC INFLAMMATION IN WOMEN When the ovaries are healthy and the tubes are removed, the circu-lation in the ovary is more or less impaired, and, unless great care istaken to preserve this blood supply, the ovary, which is retained for itssupposed internal secretion, becomes cystic. If, on the other hand, theovary is diseased, conservation after removal of the tube produces anovarian pathology that frequently invalids the ^.amp on ,. lig- Fig. 70.—A Clamp is Placed on the Infundibulopelvic and Round LigamentsAND THE Ligaments Tied Distal to the Clamp. The uterus, also, becomes enlarged from continued infection. Thisenlargement produces a menorrhagia or metrorrhagia, which symptomswill persist as long as the infected organ is retained. Hence, it willl)e seen that frequently the best interests of the patient are conservedby the complete removal of her pelvic organs. This radical extirpationremoves those foci of infection which are beyond natures reparativepowers, and so relieves the woman of her constantly recurring pelvic in-flammation. When hysterectomy is done for chronic pelvic inflammation, it shouldinclude the removal of the cervix, for the retention of an infected cervix SALPINGITIS 173 acts as a focus for the continuance of parametrial inflammation; besidesthis, the cervix, with its infected glandular structures, becomes a con-stant source of leuk
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