File:Gynecology (1916) (14777656724).jpg

Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Text Appearing Before Image:
\ Fig. 338.—Vaginal Hysterectomy.Tying off the adnexa. Before operating on a case of cancer of the cervix, especially of the evertingtype, it is usually necessary to remove the necrotic excrescent growth from thevagina. By the original Wertheim method this is done without anesthesiaimmediately before the performance of the radical operation. Some curetthe cervix just before, with the patient under anesthesia. It is our custom todo the preliminary cureting under light narcosis about a week or ten days beforeattempting the main operation. In performing the preliminary operation the chief object is to removemerely the main bulk of the cancerous mass in order to facilitate the later opera-tion, and to leave the cancerous field so that it can be made as clean as possible 632 GYNECOLOGY
Text Appearing After Image:
Fig. 339.—Vaginal Hysterectomy.The broad ligament and the upper part of the parametrium have been divided. The underpart of the parametrium and posterior vaginal wall are about to be divided (adapted from Doderlein-Kronig). HYSTERECTOMY OPERATIONS 633 during the days intervening before the radical operation. The cancerousmasses are removed with a large curet, but the curet is not carried too deeply

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