The pathology and surgical treatment of tumors . d, harmful and painful tensionhas been one of the drawbacks of Hegars operation. The writeraimed to overcome this difficulty by making, below the level of therectum, through the broad ligaments, a peritoneal cuff long enough topermit the balance of the pedicle to recede, and at the same time toshut out completely the peritoneal cavity. A circular incision is madethrough the peritoneum, at a point corresponding with that at which thebroad Hgaments have been divided. The peritoneum is then, with thefingers and by means of blunt instruments, peeled
The pathology and surgical treatment of tumors . d, harmful and painful tensionhas been one of the drawbacks of Hegars operation. The writeraimed to overcome this difficulty by making, below the level of therectum, through the broad ligaments, a peritoneal cuff long enough topermit the balance of the pedicle to recede, and at the same time toshut out completely the peritoneal cavity. A circular incision is madethrough the peritoneum, at a point corresponding with that at which thebroad Hgaments have been divided. The peritoneum is then, with thefingers and by means of blunt instruments, peeled off from the pedicleto the point at which it is desired to apply the elastic constrictor—thatis, beyond the limits of the part to be removed. If the incision is notextended into the muscular tissues, this part of the operation is attendedby very little hemorrhage. The peritoneal cuff is now sutured withcatgut to the parietal peritoneum all around in the lower angle of theincision, and the balance of the incision is closed (Fig. 362). A solid.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
