. Operative gynecology. Fto. 447-—Multiple Dermoid Cysts of Both Ovaries, with Extensive Pelvi-peritonitis involvinoUterus, Tubes, and Ovaries, seen from Above and Anteriorly. FU is the fundus uteri. The left ovary consists of a number of cysts (Z>, i), B) covered with left tube was rio;id, and distended witli pus. The right ovary {D) is also covered with adhesions; andthe right tube has been amputated by bands of adhesions, so that it consists of three separate 2,1895. Vb natural size. uterine vessels of the opposite side controlled, and the second tumor shelled
. Operative gynecology. Fto. 447-—Multiple Dermoid Cysts of Both Ovaries, with Extensive Pelvi-peritonitis involvinoUterus, Tubes, and Ovaries, seen from Above and Anteriorly. FU is the fundus uteri. The left ovary consists of a number of cysts (Z>, i), B) covered with left tube was rio;id, and distended witli pus. The right ovary {D) is also covered with adhesions; andthe right tube has been amputated by bands of adhesions, so that it consists of three separate 2,1895. Vb natural size. uterine vessels of the opposite side controlled, and the second tumor shelledout easily from below upward; the ovarian vessels are then clamped and the ?\J„3-i^itC,..X_y~^. Fig. 448.—Left Dermoid Cyst and Eight Multilocular Ovarian Cyst with Twisted of the uterus. No. 2766. TREATMENT OF OVARIAN TUMORS. 303 wliok mass removed, following, in general, the technique used in hystero-myo-mectomy. In removing an intraligamentary tumor of one side, it is important to bearin mind that its blood supply continues to be derived from the same channelsfrom which it came while the tumor was still small—that is to say, the ovarianand the terminal branches of the uterine vessels; and if these are patientlysought out and secured at once, there need be but little hemorrhage throughoutthe operation. If the tumor is cystic and is made up of one or two larger cysts, theevacuation of the fluid will give the operator more room for hismanipulations and the collapsed sac can be pulled on with greater advantage indrawing the tumor shelling out intralig-amentary tumors it isbest to avoid using thenaked fingers, using intheir stead a firm spongeon a hand
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
