Text book of abdominal surgery : a clinical manual for practitioners and students . tion of the skin, ifthe cyst have been caused by a blocking of the pancreatic such a case some greasy substance must be applied around thewound. As the discharge lessens and the cyst closes up, thedrainage tube, which may have been reduced in calibre, is to begradually shortened. The fistula may or may not remainpermanently. SECTION II. THE SUEGEEY OF THE ABDOMEN PECULIAE TOWOMEN. CHAPTER OF THE OVAEY. Surgical Anatomy. The ovary varies in size with age, and during its active lifein relation t
Text book of abdominal surgery : a clinical manual for practitioners and students . tion of the skin, ifthe cyst have been caused by a blocking of the pancreatic such a case some greasy substance must be applied around thewound. As the discharge lessens and the cyst closes up, thedrainage tube, which may have been reduced in calibre, is to begradually shortened. The fistula may or may not remainpermanently. SECTION II. THE SUEGEEY OF THE ABDOMEN PECULIAE TOWOMEN. CHAPTER OF THE OVAEY. Surgical Anatomy. The ovary varies in size with age, and during its active lifein relation to a menstrual period. The average weight is fromsixty to a hundred grains, the length one and one-third inch,and the greatest diameter three quarters of an inch. At orabout the time of a menstrual period it is much swollen, andthe corpus luteum which is formed has been sometimes mis-taken for an ovarian hseniatonia or blood cyst. The ovary is situated at the upper and back part of thebroad ligament, and is covered by its posterior layer, except Fallopian tube. Ovary, Round ligamentof uterus. Cellular tissue betweenthe broad ligament. Fig. 20.—Diagrammatic Axtero-Posterior Vertical Section of the Broad Ligament,showing the normal relation of the organs enclosed within the peritoneal folds (Hepburn). along the line of the hilum. At the same time it should benoted that the cells characteristic of peritoneum are replaced bythe columnar (germinal) epithelium. Blood vessels and nerves pass into it at the hilum from 3i8 TUMOURS OF THE OVARY. between the layers of the broad ligament. There is therefore adirect communication between the hilum of the ovary and thepelvic cellular tissue. In the annexed illustration (Fig. 20) isrepresented, very diagrammatically, the relation of the ovary to Pediculatedovarian tumour. \
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectabdomen, bookyear1894
