. Gynecology : . the two clamps on the stump of the broadligament are shifted to the corners, an assistant clamping the ends of the three 757 758 GYNECOLOGY or four vessels that bleed from the cut edge. The tube and vessels are thentied separately, two ligatures being applied to the ovarian vessels. The twoclamps which are attached to the ends of the V-shaped pedicle are approxi-mated, and the wound edges very carefully united with a continuous No. 0 catgutstitch beginning at the apex of the V. It is possible in this way to close thewound with a minimum exposure of raw edge, a matter of very g
. Gynecology : . the two clamps on the stump of the broadligament are shifted to the corners, an assistant clamping the ends of the three 757 758 GYNECOLOGY or four vessels that bleed from the cut edge. The tube and vessels are thentied separately, two ligatures being applied to the ovarian vessels. The twoclamps which are attached to the ends of the V-shaped pedicle are approxi-mated, and the wound edges very carefully united with a continuous No. 0 catgutstitch beginning at the apex of the V. It is possible in this way to close thewound with a minimum exposure of raw edge, a matter of very great importancein the avoidance of future pelvic adhesions. Special care must be taken whencompleting the suture in uniting the stump of the tube to the stump of theinfundibulopelvic ligament not to leave a clumsy mass of tissue and for any reason this is unavoidable, the round ligament can be drawn over themass and stitched so as to prevent its exposure and possible adherence to theintestines. C ? ?. lnSuT\S\bu\o peWio LjiQ<vwvex\tT~ Fig. 419.— of the wound in the broad ligament by approximating the stump of the infundibulopelvic ligament to the stump of the tube. After performing a salpingo-oophorectomy the uterus should always besuspended by a round ligament operation, even if its position at the time ofoperation is perfectly good, for if this is not done a later retroversion is almostinevitable. SALPINGECTOMY Exsection of the tube without removal of the ovary is an operation used inthe conservative surgery of pelvic inflammation. Where this operation is doneit is not enough to amputate the tube at the uterine cornu; it must include aresection of the interstitial portion of the tube to prevent the possibility of alater exacerbation of the disease in the tubal isthmus. In order to hold the tube in position for easy dissection the edge of the meso-salpinx between the fimbriated extremity and the ovary is seized by a clampor pressure f
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
