The pathology and surgical treatment of tumors . ozzi). the large vessels can be avoided, when the tumor can easily be shelled out from its bed with the fingers or with the aid of blunt instruments. Occasionally strong septa of fibrous tissue passing from the adjacent tissues into the tumor have to be cut with scissors. Bleeding points are at once ligated with catgut. When the cavity is large Martin uses a cross-drain passed through the cervix into the vagina. The cavity is closed by several rows of catgut sutures, as shown in Figure 357, a. It has happened in 10 cases out of 16 in Martins pra
The pathology and surgical treatment of tumors . ozzi). the large vessels can be avoided, when the tumor can easily be shelled out from its bed with the fingers or with the aid of blunt instruments. Occasionally strong septa of fibrous tissue passing from the adjacent tissues into the tumor have to be cut with scissors. Bleeding points are at once ligated with catgut. When the cavity is large Martin uses a cross-drain passed through the cervix into the vagina. The cavity is closed by several rows of catgut sutures, as shown in Figure 357, a. It has happened in 10 cases out of 16 in Martins practice that the uterine cavity was opened. He recommends suturing of the mucous membrane with a continuous catgut suture. The writer has had excellent results from tamponing the cavity with a long strip of iodoform gauze which was brought into the vagina through the cervix as shown in Figure 358. The wound over the gauze tampon is sutured in the same manner as after Cesarean section. The gauze tampon answers an excellent purpose in arresting the. Fig. 358.—Vaginal drainage ofcavity after intraperitoneal enucle-ation. 5o6 PATHOLOGY AND TREATMENT OF TUMORS. parenchymatous oozing, and serves also as an efficient capillary should not be removed before the third or fourth day after favorable cases several subserous and interstitial myofibromatacan be removed successfully by enucleation. Should the hemor-rhage prove troublesome, the wound can be made extraperitonealby suturing the margins of the visceral wound to the margins ofthe external wound, after which the hemorrhage can be controlledby the antiseptic tampon placed under the provisional deep su-tures. Laparo-hysterectoviy.—Laparo-hysterectomy has been performed toofrequently in the treatment of myofibromata. It is a mutilating opera-tion, and as such it should be limited to cases not amenable to success-ful treatment by less heroic measures. The operation includes theremoval of a part or the whole of th
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectneoplas, bookyear1895
