. Operative gynecology. Fig. 490.—Myomatous Uterus, Conservative three large myomata (AT, M, M) without sacrificing the uterus. May 11,1S96. periphery or in the center of the stump, and, owing to the nature of the tissue,it is not possible to pick up bleeding points and throw a ligature about them in. Fig. 491.—Conservative Treatment of the Myomatous the method of grasping the large posterior tumor and making traction wliilc an oval incision ismade not far from its base through the enveloping uterine wall down to the tumor, which is shelled out ofits base by t


. Operative gynecology. Fig. 490.—Myomatous Uterus, Conservative three large myomata (AT, M, M) without sacrificing the uterus. May 11,1S96. periphery or in the center of the stump, and, owing to the nature of the tissue,it is not possible to pick up bleeding points and throw a ligature about them in. Fig. 491.—Conservative Treatment of the Myomatous the method of grasping the large posterior tumor and making traction wliilc an oval incision ismade not far from its base through the enveloping uterine wall down to the tumor, which is shelled out ofits base by traction and dissection. MYOMECTOMY. 359 the ordinary way. The best plan is to control actively bleeding areas down themiddle of the pedicle by passing a mattress sutnre around each one, includingthe adjacent tissues, and tying it tight. Large vessels at the periphery are bestcontrolled by passing a liga-ture under the vessel in the Tuterine tissue a short dis-tance from the edge of theincision. The opposite sides of theincision are next firmly ap-proximated by a series ofinterrupted deep catgut su-tures. The sutures must belaid so as to make the mostpressure on the bleedingpoints and thus aid in controlling the particle of bleedingmust be checked beforeclosing the abdomen. Subserous Sessileand


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal