American medical digest. . oshorten it from two to three and a halfinches. The ligatures are not madetight enough to cut through or destroythe ligament, but sufficiently to holdthe fold securely. I then supplementthese ligatures by several small stitches 188S.—No. 9 c. to secure perfect apposition of the rawsurfaces. This is done on both sides,and I find that it securely holds thebody of the uterus and the appendagesforward and up from the floor of thepelvis. I have now done the operation infive cases and, so far, with completesuccess. Two of the cases in my lastyears list were treated in this
American medical digest. . oshorten it from two to three and a halfinches. The ligatures are not madetight enough to cut through or destroythe ligament, but sufficiently to holdthe fold securely. I then supplementthese ligatures by several small stitches 188S.—No. 9 c. to secure perfect apposition of the rawsurfaces. This is done on both sides,and I find that it securely holds thebody of the uterus and the appendagesforward and up from the floor of thepelvis. I have now done the operation infive cases and, so far, with completesuccess. Two of the cases in my lastyears list were treated in thisway. Several years ago I beganto include the round ligament inmy pedicle ligature when remov-ing the tubes and ovaries, whenthe case was complicated by retro-version, and found that it actedwell in holding up the year I began to do the newoperation and have now perfected it,and am willing to recommend it as asafer and better procedure than anyother for the cure of such cases. The sutures should not be made to. include too much of the tissues, so asto avoid injuring the uterus or bladder. Use of Pessaries. Dr. Wallace A. Briggs, in a paperread before the Sacramento Society forMedical Improvement, says that pes-saries must always be regarded as foreignbodies and their irritating qualitiesreduced to a minimum. This is to beaccomplished : 1. By using thick, polished, non-absorbent pessaries. A rough absorbentsurface not only irritates mechanicallybut also furnishes conditions extremelyfavorable to decomposition and conse-quent chemical irritation and even
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
