. Operative gynecology. Fig. 444.—Diagram showing the Manner of closing up the Deficit left by the Enucleation ofAN Intra LIGAMENT A RY Cyst by a Continuous Catgut Sutuee from Pelvio Wall to UterineCornu. Jan. 5, 1894. 300 OVARIOTOMY. through the clear spaces so as to inchide the vessels which are usually groupedat either border. These should be placed well off from the tumor so as to allowplenty of room to cut the tumor away without shaving it too closely. Theutero-ovarian ligament should be ligated KY Graafian Folliclf Cists, seen in situ. Nov. 24, 1H1I4. In a young woman it is


. Operative gynecology. Fig. 444.—Diagram showing the Manner of closing up the Deficit left by the Enucleation ofAN Intra LIGAMENT A RY Cyst by a Continuous Catgut Sutuee from Pelvio Wall to UterineCornu. Jan. 5, 1894. 300 OVARIOTOMY. through the clear spaces so as to inchide the vessels which are usually groupedat either border. These should be placed well off from the tumor so as to allowplenty of room to cut the tumor away without shaving it too closely. Theutero-ovarian ligament should be ligated KY Graafian Folliclf Cists, seen in situ. Nov. 24, 1H1I4. In a young woman it is not necessary to remove the uterine tube unless itis spread out over the surface of the tumor. It is a good plan to burn thepedicle off with a thermo-cautery so as to avoid leaving a raw space behind; theburnt pedicle is much less liable to contract post-operative adhesions with thecontiguous structures. Dr. Skene, of Brooklyn, has devised an electro-cautery which mummifies thestump so that hemorrhage can not take place, and there is no need of using aligature. Intraligamentary Cysts.—When the ovarian tumor grows partlyfree into the abdominal cavity and partly down between the layers of the broadligament, there is no real pedicle, but the separation may often be easily effected,after ligating the vessels on the side of the pelvic brim and on the uterine side, TREATMENT OF OVARIAN TUMORS. 301 by splitting tlie peritoneum on a line at a level witli the pelvic brim and thensimply drawing or shelling the tu


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal