. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig, 214. -Resection of ovary. A wedge-shaped excision of all the affected areais made. placed upon the broad Hgament external to the ovary forfear that deprivation of its main blood supply will cause furtherdegeneration and subsequently necessitate a total removal ofthe organ. Ovariotomy.—Ovariotomy was the earliest routine abdominaloperation undertaken deliberately with the object of curing ahitherto incurable disease. 430 DISEASES OF THE OVARIES In the absence of adhesions the operation is easy and thetechnique sim
. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig, 214. -Resection of ovary. A wedge-shaped excision of all the affected areais made. placed upon the broad Hgament external to the ovary forfear that deprivation of its main blood supply will cause furtherdegeneration and subsequently necessitate a total removal ofthe organ. Ovariotomy.—Ovariotomy was the earliest routine abdominaloperation undertaken deliberately with the object of curing ahitherto incurable disease. 430 DISEASES OF THE OVARIES In the absence of adhesions the operation is easy and thetechnique simple, especially if the tumor is of moderate size. The abdomen is opened by a short incision at or near themid-line, and the relations of the tumor ascertained with thefinger. If no comphcations are present the incision is length-ened sufficiently to permit the tumor to be lifted out of theabdominal cavity, which is at once protected by gauze pads. Fig. 215.—Resection of ovary. Sutures in phicc but not tied. tucked under the edges of the incision in sufficient number toretain the intestine and protect the peritoneum from dryingthrough contact with the air. The pedicle is now clamped orligated and the tumor cut away at such a distance from thetumor that none remains in the stump, but sufticiently farfrom the clamp or ligature so that retraction of the vessels isimpossible. Temporary control of the pedicle by clamping OVARIOTOMY 43 T is safer than immediate ligation, as after removal of the tumorthe Hgature is sometimes found to be loose, or to contain toolittle of the stump distal to the tie to be safe. If the pedicle is small, one ligature of medium-sized silkapplied immediately proximal to the clamp and drawn tight asthe clamp is loosened is entirely satisfactory, as it slips into thegroove made by the clamp and renders retraction of the vessels
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