File:A text-book of gynaecological surgery (1911) (14578908787).jpg

Identifier: textbookofgynaec00berk (find matches)
Title: A text-book of gynaecological surgery
Year: 1911 (1910s)
Authors: Berkeley, Comyns, 1865-1946 Bonney, Victor, 1872-1953
Subjects: Gynecology Genitalia, Female
Publisher: New York : Funk and Wagnalls Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 144.—Bisecting the uterus—first step. if during the separation of the bladder the operator keepscareful note of its position with the bladder-sound. As thereis much greater danger of this organ being wounded sup-posing it contains urine, the operator should pass a catheterhimself before making the first incision, for, although thenurse may have emptied the bladder before the operation, 250 GYNAECOLOGICAL SURGERY it is a well-known fact to most medical men from thedays of their earliest professional examinations how rapidly
Text Appearing After Image:
Fig. 145.—Bisecting the uterus—second step. the kidney secretes under the influence of fright or anxiety.If the bladder is opened, it must be sutured by the methoddescribed at p. 539. ii. Wounding the bowel.—If, when making the first VAGINAL HYSTERECTOMY 251 cut with the scissors, the points are directed against thevaginal wall instead of the uterus, the rectum may bewounded, and it may also be wounded if the cellular tissuebetween the vagina and the rectum is opened up. The small intestines or omentum, if they lie low in theutero-rectal pouch, may be wounded if care is not takenwhen cutting into it. If the bowel is wounded, it mustbe at once sutured according to the method describedon page 545. A faecal fistula may result, which, however,as a rule, eventually closes. iii. Oozing.—At times, although there is no seriousbleeding, some oozing may take place from one or otherof the cut surfaces, in which case it may be found thatthis will be better controlled by clamping the oozin

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