Clinical notes on uterine surgery : with special reference to the management of the sterile condition . hing, because we would simply compress two flatunyielding surfaces together ; but the cornus can bedimpled and forced inwards and upwards by the is useless to attempt this manoeuvre till we complete thefirst stage of the operation. I do not think that, as a rule, we should continueour operative procedures more than thirty minutes at atime. If we fail to restore the organ at once, then weshould introduce an india-rubber air-bag, after the planof Dr. Tyler Smith, and wait for our pati
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . hing, because we would simply compress two flatunyielding surfaces together ; but the cornus can bedimpled and forced inwards and upwards by the is useless to attempt this manoeuvre till we complete thefirst stage of the operation. I do not think that, as a rule, we should continueour operative procedures more than thirty minutes at atime. If we fail to restore the organ at once, then weshould introduce an india-rubber air-bag, after the planof Dr. Tyler Smith, and wait for our patient to recoverfully before trying again. But suppose after proper efforts we fail to restorethe uterus, should we amputate it ? In the hands of Professor Channing, of Boston, andDr. MClintock, of Dublin, amputation of the inverteduterus has proved to be a very successful operation, andone to be justified if all legitimate means of restoration,,patiently and perseveringly tried, fail to reinstate theinverted organ. * American Journal of the Medica7, Sciences, July, 1858, p. 23. OF MENSTRUATION,, 137. But before taking this last resort, I would, ratherthan amputate, make longitudinal incisions from the along the cervix to a point beyond the os internum,for the purpose of facilitating theprocess of reduction. I would make at least three—one on each side, as represented inthis diagram (fig. 49, a a), andanother similar on the posteriorsurface. I say posterior onlybecause it would be easier to makeit there than on the anterior surfaceif the patient be on the left side, with fig. 49, my speculum as it is ordinarilyused. The object of these incisions would be to dividethe circular fibres of the uterine tissue, and thereby toremove one of the principal barriers to the reduction ofthe fundus. I hope I have said enough to show that we shouldnot resort to the operation of amputation till we havetried persistently and patiently every possible means forreinstating the organ to i
Size: 1423px × 1756px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
