Text book of abdominal surgery : a clinical manual for practitioners and students . hemorrhageby constricting the neck either with the hands or by a this way bleeding is entirely arrested. As soon as the childhas been delivered the cord is temporarily constricted by twopairs of forceps and is divided between them. The infant is CESAREAN SECTION. 479 handed over to the nurse, who ties the cord in the usual large sponge is inserted into the upper part of the abdomento shut off the peritoneal cavity from all exposure, and the handis passed into the uterus to remove the placenta
Text book of abdominal surgery : a clinical manual for practitioners and students . hemorrhageby constricting the neck either with the hands or by a this way bleeding is entirely arrested. As soon as the childhas been delivered the cord is temporarily constricted by twopairs of forceps and is divided between them. The infant is CESAREAN SECTION. 479 handed over to the nurse, who ties the cord in the usual large sponge is inserted into the upper part of the abdomento shut off the peritoneal cavity from all exposure, and the handis passed into the uterus to remove the placenta while theassistant slightly relaxes the wall. Sponging ought not to be necessary, but if required it mustbe done at this stage. A part of the uterus will now be lyingslightly outside the abdominal cavity, and it is not necessary todraw it farther than is required for convenience in stitching;turning out the whole uterus before the child has been extracted,or at any other stage in the operation, is entirely stitching of the uterus is begun, the peritoneal covering. Fitr. 33. being turned inwards, and if there be any difficulty in doing this,it may be slightly dissected off. A single needle threaded withsilk is used, and each stitch is tied as it is introduced, no clotsbeing allowed to remain between the lips of the wound. Beforethe stitches are introduced into the uterus, the finger must bepassed into its interior to be certain that the cervix is open, andif necessary it must be slightly dilated. Three deep stitchesare required to the inch, and if necessary, superficial ones alsomay be put in. The stitches are to be passed deeply into thesubstance of the uterus without entering the cavity, and caremust be taken to avoid the common mistake of tying them tootightly. After all the stitches have been secured, the sponge istaken out, the uterus dried, and the abdominal wall closed witha large number of sutures. Drainage of the peritoneal cavity isnot required, and the
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectabdomen, bookyear1894
