File:The American text-book of obstetrics for practitioners and students (1903) (14754868586).jpg

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Identifier: americantextbook02came (find matches)
Title: The American text-book of obstetrics for practitioners and students
Year: 1903 (1900s)
Authors: Cameron, James C. (James Chalmers) Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-1950
Subjects: Obstetrics
Publisher: Philadelphia : W.B. Saunders & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Pig. 807.—Suppurative cellulitis f broad ligament; hysterectomy (Hirst). easily accomplished, especially as regards the control of hemorrhage, by a hysterectomy. Figure 307 represents such a case. In this woman a pyosalpinxantedated conception. Labor excited fresh inflammation. The infection spreadfrom the tube downward through the connective tissue of the broad ligament, resulting in a partial destruction of it, in a thick infiltration at its base, and in
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Fig. 808.—Suppurative and ulcerative metritis, salpingitis ; hysterectomy I Hirst). an abscess between its layers, closely hugging the whole of one -ale of theuterine body. It was obviously impossible to remove the infected area herewithout removing the womb as well. The operation, though undertaken underthe most discouraging circumstances, was successful. There can be no doubl as to the necessity of hysterectomy in such a case :i-that represented in Figure 308. There were abscesses in the uterine wall directly under the peritoneal envelope about to break into the peritoneal cavity j one,indeed, did rupture during the operation. There was a septic ulceration at the 510 AMERICAN TEXT-BOOK OF OBSTETRICS. placenta site so nearly perforating the uterine wall that by a light touch dur-ing the operation the forefinger passed into the uterine cavity. There was alsoa pyosalpinx in this case that, judging by the history, antedated or was coinci-dent with impregnation. The operation saved the

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