. Operative gynecology. os from which Eight Myomata May 11,1896. VERE ENUCLEATED BY SevEN InCISIONS. in front of the tumor, which was developed in the lower posterior portion ofthe uterus. I split the capsule 1 to 2 centimeters thick, a,nd rapidly enucleateda fibroid mass 12 x 10 x 10 centimeters in size, without exposing the uterinecavity at all. The bleeding was free but not excessive, and was controlled by eightto ten pairs of vessels were tiedvdth catgut, and the en-tire bed of the tumorobliterated by continu-ous catgut sutures. The edges of thewound were united byinterrupt
. Operative gynecology. os from which Eight Myomata May 11,1896. VERE ENUCLEATED BY SevEN InCISIONS. in front of the tumor, which was developed in the lower posterior portion ofthe uterus. I split the capsule 1 to 2 centimeters thick, a,nd rapidly enucleateda fibroid mass 12 x 10 x 10 centimeters in size, without exposing the uterinecavity at all. The bleeding was free but not excessive, and was controlled by eightto ten pairs of vessels were tiedvdth catgut, and the en-tire bed of the tumorobliterated by continu-ous catgut sutures. The edges of thewound were united byinterrupted catgut su-tures, and extended,when closed, 15 centi-meters from a point be-neath the left ntero-ova-rian ligament downwardin the middle line to the pelvic floor. A small myoma, 1-5 by IS centimeter, was also taken out infront of the left cornu. (See also Figs. 494 and 495.) Cornual Myoma.—When a myoma is situated deep in the uterine tissueat one of the cornua, lifting up the uterine tube, the uterus may be saved by. G. 495.—Uterus from which Eight Myomata were removed bySeven Incisions. Showing incisions closed by interrupted catgut sutures. 362 MYOMECTOMY—HYSTEEG-MYOMECTOMY. removing the tumor -^vitli the , and, if need be, the ovary of that side. Thecirculation of the uterus is controlled eitlier by an elastic ligature around thecervical end, or, bettei-, by tying the uterine artery of that side well below thecornu and ligating the ovarian vessels out near the brim of the pelvis. A smalloval incision is then made, to include the uterine end of the tube, exposing thetumor in its bed ; the growth is then enucleated, as in a case (S. L., 2500) oper-ated on Jan. 15, 189i, wliere the tube and ovary of the side where the tumorlay were involved in peritoneal adhesions. The uterine cavity was opened.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
