File:Operative gynecology - (1906) (14783482785).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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only to do the operation manifestlycalled for in this case, but not to neglect certain other minor operations whichare often indicated, and which, if left undone, sometimes cause great dissatis-faction to the patient. The operations most apt to be overlooked when asso-ciated with other surgical affections are, suspension of the kidney, removalof the vermiform appendix, a laceration of the cervix, and hemorrhoids. Imake out a slip like the following, which is brought to the operating roomwith the patient, and greatly facilitates my work, besides preventing mistakesand oversights: FURTHER TREATMENT PROPOSED. Name Date Investigate First: Heart and LungsStomach Anal. Urine Kidneys Blood Operations: Abd. Pelv. Renal Remarks: 134 • THE GYNECOLOGICAL EXAMINATION. There are four outlines necessary to illustrate properly the pelvis and itscontents; Professor Schultze, of Jena, and Dr. R. L. Dickinson, of this country,have devised rubber stamps by means of which a diagrammatic view of several
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Fig. 74.—The Four Cardinal Projections of the Abdomen and Pelvis, reduced on the Same Scale. Any point in the abdomen can be located by following the parallel lines in the three projections.The lower diagrams are viewed perpendicularly to the plane of the superior strait. TAKING THE HISTORY. 135 aspects of the pelvis can be reproduced in a case book, or upon a history blank.I prefer in some instances, however, to make a free-hand drawing, becauseindividual peculiarities can be best brought out in this way. A sagittalsec-tion is used to indicate uterine displacements and the position of tumors infront of or behind the uterus. A coronal section through the crests of the ilia, the acetabula, and the tuber-osities of the ischium is necessary to demonstrate lateral displacements of theuterus and the location of inflammatory masses on the right and on the left.If the examination is unsatisfactory, and there is doubt concerning the exist-ence of disease on either side, an interrogation mar

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