A textbook of obstetrics . -, non-infected stump. To effect this result the excisionof the uterus, the broad ligaments, the tubes, and the ovaries isrequired. In addition to these cases there are others in which,if the tubes and ovaries must be excised, the uterus might beremoved with advantage, on account of an infected endometriumor of persistent metrorrhagia. Figure 490 is an example of sucha case. The young woman from whom the specimen was re-moved had a double pyosalpinx following a criminal seven weeks she had been bleeding persistently, and at. Fig. 490. — Hysterectomy for
A textbook of obstetrics . -, non-infected stump. To effect this result the excisionof the uterus, the broad ligaments, the tubes, and the ovaries isrequired. In addition to these cases there are others in which,if the tubes and ovaries must be excised, the uterus might beremoved with advantage, on account of an infected endometriumor of persistent metrorrhagia. Figure 490 is an example of sucha case. The young woman from whom the specimen was re-moved had a double pyosalpinx following a criminal seven weeks she had been bleeding persistently, and at. Fig. 490. — Hysterectomy for purulent salpingitis (authors case). intervals had a foul-smelling discharge. Although the body ofthe womb was healthy and the endometrium alone was inflamedand infected, it was obviously wiser to remove at once all sourceof the trouble rather than to excise the tubes and ovaries andthen to treat separately at some trouble and risk an organ thathad become entirely superfluous. The result justified the pro-cedure. There may also be such wide-spread suppuration anddisintegration of the broad ligaments, along with tubal inflam-mation, that the complete removal of all the infected area ismore easily accomplished, especially as regards the control ofhemorrhage, by a hysterectomy. Figure 491 represents such acase. In this woman a pyosalpinx antedated conception. Laborexcited fresh Inflammation. The infection spread from the tubedownward through the connective tissue of the broad ligament,resulting in a partial destruction of it. in a thick infiltration at itsb
Size: 2390px × 1045px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
