A new manual of surgery, civil and military (1917) (14786608473)

Vaginal Hysterectomy
Identifier: newmanualofsurge00ochs (find matches)
Title: A new manual of surgery, civil and military
Year: 1917 (1910s)
Authors: Ochsner, Albert J. (Albert John), 1858-1925 Percy, Nelson M. (Nelson Mortimer), b. 1875
Subjects: Surgery
Publisher: Chicago, Cleveland Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:
Vaginal Hysterectomy. The orifice is held open as in the previous plate. The peritoneal cavity has been openedin front and behind the cervix and the uterus has been brought down and inverted by meansof traction with the cats-paw retractor (c). tissue to slip out of their grasp. The broad ligament is then cut along theseforceps and a second pair of the same kind is applied to the remaining portionof the lateral pedicle containing the remainder of the broad ligament, togetherwith the uterine artery. The remainder of the pedicle is then severed and theuterus is attached now only upon one side. It is then an easy matter to bring 632 SURGERY OF THE FEMALE PELVIS out the other ovary and tube and to clamp the pedicle beyond these in themanner which has just been described. The uterus is then entirely cut awayA strand of iodoform gauze is placed over the ends of these forceps in order toprevent them from doing injury by coming in contact with the intestines in the
Text Appearing After Image:
Vaginal Hysterectomy. f>,o ,The^ uterus has been removed; the left broad ligament is still held with clamp foreeDSthe ligature being in place, but not tied. The clamp forceps have been removed from theright Droad ligament (b) and the ligature has been tied. A piecl of ioSrm%auz^ hasbeen sutured to the stumps of the broad ligaments with two cat-^t sutures (c) peritoneal cavity and then the points of the forceps are pushed up into theperitoneal cavity beyond the vaginal wound. A further tampon is placed in^wr^?-! f *^ ^^^^^\^^d tlie outlet of the vagina is tamponed with apiece of iodoform gauze, thoroughly saturated with vaseline, in order to prevent the soiling of the deeper tampons from without. The ntroduction of a SURGERY OF THE FEMALE RELAYS 633 retention catheter and the application of the external dressing completes theoperation. It has seemed to us that there exists a distinct advantage in using theclamps for the purpose of hemostasis in preference to a ligature, because thel