. Diseases of women. A clinical guide to their diagnosis and treatment. them so that when each is put round one half ofthe pedicle, they may be interlocked in the middle (Fig. 226).If they are not interlocked, they may when tied pull the twohalves of the pedicle away from one another, and so split thepedicle, which will favour slipping of the ligatures (Fig. 227).Now tie each ligature round its half of the pedicle as tightlyas you can by steady pulling without jerking. Make the firsthitch of each knot a double one, to prevent its slipping andgetting loose while you. are tying the second. Tie w
. Diseases of women. A clinical guide to their diagnosis and treatment. them so that when each is put round one half ofthe pedicle, they may be interlocked in the middle (Fig. 226).If they are not interlocked, they may when tied pull the twohalves of the pedicle away from one another, and so split thepedicle, which will favour slipping of the ligatures (Fig. 227).Now tie each ligature round its half of the pedicle as tightlyas you can by steady pulling without jerking. Make the firsthitch of each knot a double one, to prevent its slipping andgetting loose while you. are tying the second. Tie with a reefz z 802 DISEASES OF WOMEN. knot, and if not certain about its security tie a third short the ends of the ligatures, so that there may be notemptation to use them to hold up the pedicle. If the pedicleis thin, you may pass one end of the ligature round thepedicle, pass it through the loop, and then tie it to the other mmk Fig. 227.—Diagram illustratingthe danger of ligature of thepedicle after transfixionwithout interlocking thethreads. {Doran.). Fig. 228.—One end of the thread passedthrough the loop. (Doran.) end. One knot is#thus sufficient (Fig. 228). If the pedicle isbroad, it may be necessary to transfix it more than once. Inthat case, after tying one loop, transfix the pedicle again, with the needle carrying a se-*Sc# sdP2^ rr. con(i ligature. Withdraw the second ligature fromthe needle, and threadthe needle with the second
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