. A manual of gynæcology and pelvic surgery, for students and practitioners. 546 DISEASES ASSOCIATED WITH GYNECOLOGIC LESIONS cavity and completely outside the incision if possible. Occa-sionally the organ is so densely bound down that intestinalinjury is to be feared if an attempt is made to release it by theseparation of the adhesions which surround it. In such casesthe cecal junction is found, the peritoneum over the base of the. Fig. 249.—Appendectomy. The appendix buried. The peritoneum over theappendix is split longitudinally. appendix split longitudinally, and the muscular coat separate
. A manual of gynæcology and pelvic surgery, for students and practitioners. 546 DISEASES ASSOCIATED WITH GYNECOLOGIC LESIONS cavity and completely outside the incision if possible. Occa-sionally the organ is so densely bound down that intestinalinjury is to be feared if an attempt is made to release it by theseparation of the adhesions which surround it. In such casesthe cecal junction is found, the peritoneum over the base of the. Fig. 249.—Appendectomy. The appendix buried. The peritoneum over theappendix is split longitudinally. appendix split longitudinally, and the muscular coat separatedfrom the peritoneal by blunt dissection around its entire circum-ference. Slight traction on the exposed portion, while bluntdissection continues toward its tip, brings out the entire ap-pendix minus its peritoneal coat. In this event no mesenteric APPEXDECTOMY 547 ligature is needed, a stitch or two in the separated peritonealshell controlHng the bleeding. In cases of acute appendicitis which have lasted sufficientlylong to provoke many adhesions, or in which perforation andabscess have developed, the preliminary walling off of the
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Keywords: ., bookcentury1900, bookdecade1910, bookidman, booksubjectgynecology
