Treatise on gynæcology : medical and surgical . Fig. 191.—Hysterectomy by the Sacral of incision. (The dotted line shows the centralaxis of the body.) Fig. -Lines op Resection of theSacrum. lower wing of the sacrum, thus creating a very large opening whereone can manoeuvre with ease. The patient is placed in right lateral decubitus, and starting fromthe point of the coccyx an incision is made by the side of that bonefor about ten centimetres, curving outward to end at the middle ofthe sacro-iliac symphysis (Fig. 191). The coccyx is cleared of theperiosteum and extirpated, and
Treatise on gynæcology : medical and surgical . Fig. 191.—Hysterectomy by the Sacral of incision. (The dotted line shows the centralaxis of the body.) Fig. -Lines op Resection of theSacrum. lower wing of the sacrum, thus creating a very large opening whereone can manoeuvre with ease. The patient is placed in right lateral decubitus, and starting fromthe point of the coccyx an incision is made by the side of that bonefor about ten centimetres, curving outward to end at the middle ofthe sacro-iliac symphysis (Fig. 191). The coccyx is cleared of theperiosteum and extirpated, and at the same time the lower portionof the sacrum is detached and removed with a strong cutting forceps,first laterally, and then, if necessary, by a transverse section. Toprocure space enough without injuring any important nervous branchit is sufficient to carry this section just below the third sacral foramen(Fig. 192). The rectum, which it is well to pack with iodoformgauze, is then displaced laterally, and the peritoneum incised inDouglas
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
