Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned t
Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned that the so-called cysticdegeneration of the ovaries is, for the most part, a physiologic process. Thereare times, however, when the process passes the physiologic bounds and theoperation of resection must be resorted to. This is especially true when onefollicle seems to be growing at the expense of the rest of the ovarian tissue, andgives promise of becoming a large retention cyst. The necessity of performing. Fig. 367.—Resection of Ovary. A follicle cyst is being exsected. The clamps which hold the ovary into view are lightly placed so as not to crush the tissues which they include. a resection of the ovary in the course of a pelvic operation must, however, alwaysbe regarded as a regretable incident, for the likelihood of the ovarys becomingadherent is very great. The ovary is exposed to view by placing one clamp on the edge of the meso-salpinx and the other on the ovarian suspensory ligament, the clamps beinglocked just tight enough to hold the ovary in place, but not so as to crush thetissue or shut off the blood-supply. An oval incision is then made aroundthe cyst, exposing the translucent capsule of the cyst, which can easily beshelled out of its bed in the ovarian tissue. If the supporting clamps have notbeen applied too tightly there is some bleeding from the hilum of the ovary. 662 OPERATIONS ON THE OVARIES 663 All the bleeding should be very carefully stopped by fine
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