Clinical notes on uterine surgery : with special reference to the management of the sterile condition . made to transfix theligated portion of the broad ligament, which had 232 UTERINE SURGERY. been drawn through into the vagina. The edgesof the cervix united by the first intention. Theopening through the cervix, before it was closed bythe sutures, would easily have admitted the passageof three fingers at a time into the peritoneal was rather a fortunate thing under the circum-stances, as it afforded great facility for sponging outthe blood from the peritoneal cavity. The patientre
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . made to transfix theligated portion of the broad ligament, which had 232 UTERINE SURGERY. been drawn through into the vagina. The edgesof the cervix united by the first intention. Theopening through the cervix, before it was closed bythe sutures, would easily have admitted the passageof three fingers at a time into the peritoneal was rather a fortunate thing under the circum-stances, as it afforded great facility for sponging outthe blood from the peritoneal cavity. The patientrecovered rapidly. Dr. Emmet gave her opiates atstated intervals for two or three days, with goodnutriment. She had a small vaginal discharge for ashort time, till the little projecting portion of broadligament was removed. Ten days after the operationthe bowels were opened by enemata. Two of thesutures were cut off close, and left to be permanentlysacculated. I have occasionally heard from Mrs. R,. since theoperation, and she remained in good health. This cut (fig. 47) is copied from a drawing made. Pig. 47. immediately after the uterus was removed. It showsthat portion of the ligament in which the bleedingartery was found. The artist has slightly exaggeratedthe long diameter of the organ. OF MENSTRUATION. 133 With my next case I was more fortunate. Thiswas a case of a lady in Springfield, Massachusetts, whowas attended in her labour by one of the mosteminent of our New England practitioners. I presumeit was an example of spontaneous inversion at a some-what remote period after confinement, for the characterof the physician is a sufficient guarantee that it couldnot have resulted from any mismanagement on hispart; nor could it have occurred spontaneously at thetime of his attendance without being detected by himA few weeks after this ladj^s delivery, her physicianwent abroad. Some months afterwards she calledanother physician, who treated her for did not improve
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