Lectures on ectopic pregnancy and pelvic haematocele . d off. After washing out thecavity with warm carbolic water the wound was closed with silverwire sutures, the cord being left hanging out at the lower end ofwound. A large glass drainage tube was also inserted. Duringthe next three weeks the whole of the placenta came away throughthe lower part of the wound. The cyst came with it: and Irecognised the catgut which had been used at the upper marginof the abdominal wall incision. Much of the black and putridmass was removed by daily traction upon the projecting parts, butunless great care was
Lectures on ectopic pregnancy and pelvic haematocele . d off. After washing out thecavity with warm carbolic water the wound was closed with silverwire sutures, the cord being left hanging out at the lower end ofwound. A large glass drainage tube was also inserted. Duringthe next three weeks the whole of the placenta came away throughthe lower part of the wound. The cyst came with it: and Irecognised the catgut which had been used at the upper marginof the abdominal wall incision. Much of the black and putridmass was removed by daily traction upon the projecting parts, butunless great care was used haemorrhage occurred. When thewhole of the placenta and cyst had come away the wound healedup rapidly, and the patient made a good though slow recovery, andshe is at the present time as well as she was before her illness. The extension of the incision probably opened the finger gloveprocess of the peritoneum, rather than separated the cyst wall. Peritoiuumclosed here Loose tissve -beside uterusand peritonivm 1 Z_ DuodenumSiti- of recent rupture. I Vesica vtenne dtp _Cemcal canol — Bladder — Pouch of DouglcsRectum I Cervix uteri Vaginal cervix Bectumi Vagina Fig 3 (1 R) •5 a
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