Diseases of the ovaries : their diagnosis and treatment . bber tube, without fear of stopping thecurrent by its bending. This instrument is very well made byKrohne. Whether my old ovariotomy trocar or the instrumentwith this modification of Dr. Fitchs be used, a cyst is punctured,when partly empty is fixed on to the canula by the springhooks, so that trocar, ligature, and vulsellum are united in oneinstrument, and a large cyst may be rapidly emptied andreadily withdrawn, without any fear of its contents escapingeither into the abdominal cavity or about the patient. As aids to the hooked trocar


Diseases of the ovaries : their diagnosis and treatment . bber tube, without fear of stopping thecurrent by its bending. This instrument is very well made byKrohne. Whether my old ovariotomy trocar or the instrumentwith this modification of Dr. Fitchs be used, a cyst is punctured,when partly empty is fixed on to the canula by the springhooks, so that trocar, ligature, and vulsellum are united in oneinstrument, and a large cyst may be rapidly emptied andreadily withdrawn, without any fear of its contents escapingeither into the abdominal cavity or about the patient. As aids to the hooked trocar in drawing out a cyst, or inholding a cyst which has been opened outside the abdominalcavity, while the septa of inner cysts are being broken up andthe contents brought out, hooked forceps, or vulsella of differentkinds, are often necessary. The best of these instruments isthat made by Mathieu, and known as Nelatons vulsellum. Itholds the cyst very securely, does not slip nor tear the essential or grasping part of the instrument is here VARIETIES OF CLAMf. 337 The clamp first introduced by Mr. Hutchinson was the car-penters common calliper. His first improvement was to makethe handles moveable. My first attempt to improve upon thisinstrument resulted in the manufacture of two fenestratedblades, which were made to exert parallel compression by ascrew at each end. This instrument is still described as myclamp, and the original sketch of it here given has been \ \


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Keywords: ., bookcentury1800, bookdecade1870, booksubjectgynecology, bookyear1