. A manual of gynæcology and pelvic surgery, for students and practitioners. so drawn together as toleave no raw surface. duced to control oozing and fill the space from which adherentintestine was removed, are now withdrawn and replaced by adry pad, which holds the intestine away from the site of opera-tion while the pelvic cavity is sponged dry and it is certain that active bleeding has stopped, the pos-terior wall of the uterus, the posterior layers of the broad Hga-ment, the bottom of the pelvic cavity, and the top of the blad-der are thoroughly sponged off with saline solut
. A manual of gynæcology and pelvic surgery, for students and practitioners. so drawn together as toleave no raw surface. duced to control oozing and fill the space from which adherentintestine was removed, are now withdrawn and replaced by adry pad, which holds the intestine away from the site of opera-tion while the pelvic cavity is sponged dry and it is certain that active bleeding has stopped, the pos-terior wall of the uterus, the posterior layers of the broad Hga-ment, the bottom of the pelvic cavity, and the top of the blad-der are thoroughly sponged off with saline solution. Intestinewhich was packed away from the pelvis after adhesions wereloosened is again inspected to be certain that no damaged spot DRAINAGE AFTER SALPINGECTOMY 375 is overlooked. The sigmoid is then dropped behind the uterus,the omentum drawn behind the incision but not into the pelvis,and the abdomen closed with or without drainage. The sub-ject of drainage is considered in the chapter devoted to gynaeco-logic surgery, but in a general way it may be said that the re-. FiG. 200.—Salpingectomy followed by vaginal drainage. gauze cofferdam. Superior view of the action against abdominal drainage has gone too far. Drain-age, of course, need not be practised after the removal of oldpus tubes unless there are extensive raw surfaces which cannotbe adequately covered with normal peritoneum, and fromwhich oozing is persistent. This is true even if the tubes have 376 DISEASES OF THE UTERINE TUBES i ruptured, as the contents of old pus tubes are sterile. Butin more recent cases in which a doubt exists as to the sterility ofthe contents of the tube, as well as when there is doubt as to theintegrity of the rectal wall, drainage does no harm and may
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