. Operative gynecology. fwhich can, strictly speaking, be called a Porro operation : The first is to open the uterus and deliver the child, and then to ampu-tate the uterus and fix the pedicle in the lower angle of the abdominalwound. The second is to deliver the child, amputate the uterus, sew up the stump,cover it with a peritoneal flap, and drop it into the abdomen, which is thenclosed. I have had one siich case (R. P. S., 8819, Dec. 16, 1893) where the Porro-Cesarean section was made necessary by a large myomatous tumor of the uterusentirely blocking the pelvic canal. The child lived for s
. Operative gynecology. fwhich can, strictly speaking, be called a Porro operation : The first is to open the uterus and deliver the child, and then to ampu-tate the uterus and fix the pedicle in the lower angle of the abdominalwound. The second is to deliver the child, amputate the uterus, sew up the stump,cover it with a peritoneal flap, and drop it into the abdomen, which is thenclosed. I have had one siich case (R. P. S., 8819, Dec. 16, 1893) where the Porro-Cesarean section was made necessary by a large myomatous tumor of the uterusentirely blocking the pelvic canal. The child lived for several days and themothers recovery was perfectly satisfactory. (See Fig. 517.) The third is to remove the entire uterus (panhysterectomy), opening thevaginal vault, which is then closed by suture and the pedicle dropped. THE PORRO-CESAEEAN SECTION. 425 Operation.—I would in all cases reject the first method of hysterectomyand select either the second or the third as more in keeping with advanced sur-gical Fig. 517.—Poreo-Cesarean Section foe Fibeoid Dteeus at incision througli which the child was extracted is seen in the .interior uterine above. The j)la-centa was not removed, and the cord is seen projecting from the cervical end. Path. No. ISi!. % natural size. When the pregnant uterus is removed for myomata,persistent hemorrhage, or a vaginal atresia, it is better toamputate the cervix, close it by suture, and drop thepedicle in the following manner: The abdomen is opened by an incisionlarge enough to bring the pregnant uterus outside. To prevent the intestinesfrom escaping above, pads of gauze wrang out of a hot normal salt solution arelaid over them and under the incision, and the table is elevated just enough tocause them to tend to gravitate upward. The child is then deliveredand the enucleation proceeded with. It is not necessary to extract the placentaand the membranes. The ovarian vessels of one side are then tied nearthe brim of the p
Size: 1940px × 1287px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
