Southern medicine and surgery [serial] . ed up into the wound,the amount of relaxation of the liga-ments, the position in which the uteruslies, the tone of the ligaments, the colorof the uterus, and the position of thebladder, should be immediately addedto the history of the case, and the gyne-cological findings. Not to do this speaksfor a very poorly planned operation. Ifthe tubes and ovaries are to be left, andwe leave them where ever we can, theround ligament and tube are grasped with a straight hysterectomy clamp, anda second clamp is placed immediatelybeside it. The tissues are then cut w
Southern medicine and surgery [serial] . ed up into the wound,the amount of relaxation of the liga-ments, the position in which the uteruslies, the tone of the ligaments, the colorof the uterus, and the position of thebladder, should be immediately addedto the history of the case, and the gyne-cological findings. Not to do this speaksfor a very poorly planned operation. Ifthe tubes and ovaries are to be left, andwe leave them where ever we can, theround ligament and tube are grasped with a straight hysterectomy clamp, anda second clamp is placed immediatelybeside it. The tissues are then cut withscissors as far as the points of the for-ceps. The peritoneum is then cutacross the anterior of the uterus to apoint on the opposite side where thepoints of the clamp on that side will beplaced. A similar incision is madeacross the dorsum of the uterus. Asmall forcep is then placed under theperitoneum between the points of thetwo forceps and the peritoneum dissect-ed up from the uterine artery, byspreading the forcep and Cut No. 1—Shows the finger dissect ion of the peri-toneum. The index finger is then slipped underthe peritoneum, and it is dissected deepdown under the bladder, and inward asfar as the utero-vesical ligament, andthen the finger is carried outward push-ing the ureter outward and out of theimmediate field of operation. The fin-ger is then placed under the posteriorperitoneum and it is dissected awayfrom the uterus as far as the this same procedure is accom-plished on the other side, the uterine ar-teries are brought well into view, andthey are grasped with long curved hys-terectomy clamps, always being carefulto direct the point of the forcep firmlytoward the uterus. A second clamp isthen put on beside the former. Whenthis procedure is earned out on the op- SOUTHERN MEDICINE AND SURGERY October, 1924. posite side, and the uterine arteries aredivided, a forcep then grasps the centerof the anterior peritoneal flap or themedian raphe,
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
