An international system of electro-therapeutics : for students, general practitioners, and specialists . tion is seen in ELECTRO-THERMAL SURGERY. L-15 the drawing from a photograph (Fig. 20). It should not be forgotten,however, that the cases are comparatively rare in which the simpleprocedure just described will suffice, as the entire cervix up towardand even beyond the os internum will be found to be involved in thevast majority. Consequently, unless the strongest evidence exists favor-ing an intact condition of the upper cervix, it will be wiser to amputateor excise higher up. After all, th
An international system of electro-therapeutics : for students, general practitioners, and specialists . tion is seen in ELECTRO-THERMAL SURGERY. L-15 the drawing from a photograph (Fig. 20). It should not be forgotten,however, that the cases are comparatively rare in which the simpleprocedure just described will suffice, as the entire cervix up towardand even beyond the os internum will be found to be involved in thevast majority. Consequently, unless the strongest evidence exists favor-ing an intact condition of the upper cervix, it will be wiser to amputateor excise higher up. After all, the safest and most conservative rule to observe, in everycase of well-marked cancer of the cervix, however circumscribed orlimited it may appear, will be to include in the excision the os internum,and even a portion of the corpus. It will be found that after the circular incision has been made andthe uterus thus released from its vaginal moorings the degree to which itmay be drawn down by moderate traction will be surprisingly great,and, as there need be no haemorrhage, the extent and thoroughness to. which conical excision mRj be carried has often astonished those wholiave witnessed high amputations by galvano-cautery. Fig. 21 shows theeffect of traction after circular incision. It is to be regretted that, of all cases of uterine cancer met with inhospital clinics or even in private practice, but a comparatively small num-ber, perhaps about 15 per cent,, can be satisfactoril}- treated in the simplemanner above described. In not less than 25 per cent, the entire cervixwill be found affected, and the parametric or vaginal tissues more or lessinfiltrated ; often, too, while the uterus appears to be free and movable inall directions. One of the more frequent stages in which tlie disease isfirst brought to our notice is that in which the cervical canal, being theprimary seat of invasion, has been transformed into an irregularly ulcer-ated and bleeding crater, whose zigzag edges appe
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectuterus, bookyear1894
