File:A new manual of surgery, civil and military (1917) (14743731606).jpg

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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
into the cul-de-sac of Douglas in order to prevent the soiling of the lattercavity from the cervix. The fundus of the uterus is then brought to the an-terior opening in the peritoneal cavity, or through the posterior opening,according to the direction in which this can be accomplished most easily. Ifthe fundus is brought down posteriorly, then a piece of sterile gauze should beinserted anteriorly to protect the peritoneal cavity against soiling. The manner in which the uterus can be brought down most convenientlj^is by means of the cats-paw retractors, as indicated in the plate. The ovaryand tube on one side are then brought forward into the wound by means of SURGERY OF THE FEMALE PELVIS 631 forceps placed upon the broad ligament, or by digital manipulation. Then apair of heavy, long-jawed compression forceps is applied to the broad ligamentbeyond the ovary and tube from above downwards, in order to avoid theureters. These forceps should be so constructed that it is impossible for the
Text Appearing After 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

Note About Images