Manual of Gynecology Volume N . 2

Manual of Gynecology Volume N . 2

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1883 edition. Excerpt: ...sheathed in a trocar. Guided by the hand in the vagina, the needle is made to pierce the lateral fornix (at a); a piece of cork pressed against the point facilitates penetration. The free end I of this double thread is laid hold of and held while the needle is withdrawn and, running on the thread, carries it through the lateral fornix (at b). The thread is then cut at m beyond the eye of the needle, so that the needle still threaded can be used to place a similar ligature in the lateral fornix of the opposite side. The end m is carried through the round ligament at the same point as 3, so as to form the ligature III. which controls the uterine artery. It is important that it should include but a small portion of the vaginal roof, so as to compress the artery more securely. 3. The uterus is now excised. The knife is carried through the uterovesical pouch between the cervix and the bladder, of which latter the position is defined by the catheter. The free edge of the divided peritoneum, resting on the bladder, is fixed to the underlying tissue by a fine silk ligature. The peritoneum of the pouch of Douglas is now cut through at a lower level, and the free margin fixed in a similar manner with a fine silk thread. The cellular tissue underneath the peritoneal wound, before and behind the uterus, is separated with the finger; then the vaginal mucous membrane is divided in the anterior and posterior fornices with the knife passed in from the vagina. The uterus is thus free before and behind; and, the broad ligaments being cut through with the scissors internal to the three ligatures (Fig. 290), the whole organ is removed. 4. The ends of the six ligatures are brought down through the wound in the roof of the vagina. (Formerly, Freund stitched this wound...show more

Product details

  • Paperback | 106 pages
  • 189 x 246 x 6mm | 204g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236508599
  • 9781236508591