The American text-book of obstetrics for practitioners and students . In addition to these cases there are others in which, if the tubes andovaries must, be excised, the uterus might be removed with advantage, onaccount of an infected endometrium or of persistent metrorrhagia. Figure306 is an example of such a case. The young woman from whom the speci-men was removed had a double pyosalpinx following a criminal abortion. Forseven weeks she had been bleeding persistently and at intervals had a foul-smelling discharge. Although the body of the womb was healthy and the OBSTETRIC si RGER V endomet
The American text-book of obstetrics for practitioners and students . In addition to these cases there are others in which, if the tubes andovaries must, be excised, the uterus might be removed with advantage, onaccount of an infected endometrium or of persistent metrorrhagia. Figure306 is an example of such a case. The young woman from whom the speci-men was removed had a double pyosalpinx following a criminal abortion. Forseven weeks she had been bleeding persistently and at intervals had a foul-smelling discharge. Although the body of the womb was healthy and the OBSTETRIC si RGER V endometrium was alone inflamed and infected, it u:i- obviously wiser to remove .•it ( e all source of the trouble rather than to excise the tubes and ovarii - and then to treal separately al some trouble and risk an organ thai had become en-tirely superfluous. The result justified the procedure. There may also be suchwidespread Biippuration and disintegration of the broad ligaments, along withtubal inflammation, thai the complete removal of all the infected area is more. Pig. 807.—Suppurative cellulitis f broad ligament; hysterectomy (Hirst). easily accomplished, especially as regards the control of hemorrhage, by a hysterectomy. Figure 307 represents such a case. In this woman a pyosalpinxantedated conception. Labor excited fresh inflammation. The infection spreadfrom the tube downward through the connective tissue of the broad ligament, resulting in a partial destruction of it, in a thick infiltration at its base, and in
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
