. Operative gynecology. imd, the course pursued by the operator willdepend upon the condition of the patient. If she is so weak that she can pre-sumal)ly only stand an operation of the shortest duration, the best ?plan will beto irrigate rapidly, cleaning out all the accessible pus with a sponge, paying spe-cial attention to the pelvic cavity and the renal fossae. If the time is too shortto permit the enucleation of the pelvic abscess, this should at least be squeezed 23i VAGINAL DRAINAGE AND ENUCLEATION FOR PYOSALPINX, ETC. empty and a free drainage opening made into the vagina back of the ce
. Operative gynecology. imd, the course pursued by the operator willdepend upon the condition of the patient. If she is so weak that she can pre-sumal)ly only stand an operation of the shortest duration, the best ?plan will beto irrigate rapidly, cleaning out all the accessible pus with a sponge, paying spe-cial attention to the pelvic cavity and the renal fossae. If the time is too shortto permit the enucleation of the pelvic abscess, this should at least be squeezed 23i VAGINAL DRAINAGE AND ENUCLEATION FOR PYOSALPINX, ETC. empty and a free drainage opening made into the vagina back of the cervix andthe abdomen closed. When, however, the patients condition will permit it, the entire abdominalcavity should be washed out and the separate coils of intestines drawn up in anorderly manner and wiped off, and the mesentery cleansed, so that, as far as pos-sible, every trace of pus is removed. It must be remembered that only one thirdof the intestinal canal Hes in contact with the abdominal wall and that there is. ?Ovarian Abscess. (A) Densely adherent to the rectum, with retroflexed adlierent uterus ( W); general pelvic peritonitis ofthe severest form, involving both tubes and ovaries. Omental adhesions (0) 48 centunetera around theborder. Pus in abscess sterile. Enucleation of uterus, tubes, and ovaries. Recovery. Gyn. No. v., June 13, 1894. an enormous extent of peritoneal surface distributed over the mesentery, so thatafter simply washing off what is exposed to view through an abdominal incision,much more is left behind which still more urgently demands attention. Liberalgauze drains should then be inserted in the median line leading down into thepelvis and out onto the coils of intestines. The flanks should also be openedand gauze drains put in there to catch any fluids gravitating in that this way several yards of gauze may be employed and gradually removed in ENUCLEATION OF PYOSALPIXX AND OVARIAX ABSCESSES. 235 a few days. When the uterus is ext
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
