Treatise on gynæcology : medical and surgical . of iodoformed or carbolized gauze. For my part, I think that total hysterectomy is preferable to re-moval of the cervix, even when the disease is circumscribed, for italone gives security that the whole of the affected part has been re-moved, and the mortality of the operation has been so far reduced thatit does not materially exceed that of cervical amputation. 356 CLINICAL AND OPERATIVE GYNAECOLOGY. II. Cancer of the Entire Cervix, without Extension to THE CULS-DE-SAC. In this condition intra-vaginal amputation will not suffice, for itdoes not
Treatise on gynæcology : medical and surgical . of iodoformed or carbolized gauze. For my part, I think that total hysterectomy is preferable to re-moval of the cervix, even when the disease is circumscribed, for italone gives security that the whole of the affected part has been re-moved, and the mortality of the operation has been so far reduced thatit does not materially exceed that of cervical amputation. 356 CLINICAL AND OPERATIVE GYNAECOLOGY. II. Cancer of the Entire Cervix, without Extension to THE CULS-DE-SAC. In this condition intra-vaginal amputation will not suffice, for itdoes not include the whole of the disease. We therefore practise thesupra-vaginal excision, a conical excision similar to that which Huguierlong since applied to another affection and which many surgeonsindependently of each other have practised under different has for nearly twenty years performed a conical ex-cision with the bistoury, using a sound in the cervix as a guide,and roasting the stump with the thermo-cautery. Baker, of Bos-. Fig. 180.—Supra-Vaginal Amputation of the Cervix, showing the Extent of the Excision and theLigature of the Lower Branch of the Uterine Artery. ton,7 also employs the high amputation, followed by the hot iron,and Ely van de Warker8 does the same, cauterizing with chloride ofzinc. Schroder has made the operation general, and best described theindications and technique under the name of supra-vaginal amputa-tion of the According to him there is a fundamental differ-ence between cancroid (epithelioma) of the cervix and all other formsof cancer. He believes it to be a local affection, with no tendencytoward propagation to the body of the organ if the cervix is freelyexcised, the limits of the disease being passed by from one to oneand a half centimetres. The technique is as follows: The diseased cervix is brought TREATMENT OF CANCER OF THE CERVIX. 351 down to the vulva by Museux forceps and a strong loop ofthread is passed throug
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