File:The diagnosis and treatment of diseases of women (1907) (14598053809).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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Fig. 601. The Puuctuiing Tenacukun-Forceps. The instrument isstrongly made and slender, and is designed to pass easily tlirough thetissues of the abdominal wall, to penetrate the aponeurosis and peri-toneum at any desired point, to grasp the round ligament firmly with-out bruising it, and to return through the wall, bringing the ligamentalong the new canal. (Crossen—Journal of American Medical Associa-tion.) 616 DISPLACEMENTS OF THE UTERUS ■ In the class of cases under consideration, the hgament and peritoneum areusually so stretched and lax that they are easily drawn into the new canal as asmall cord. If the ligament is unusually thick oi if the peritoneum is so thickenedthat it probably will not pass easily into the forceps canal, a window may besnipped in the peritoneum in front of the ligament and the ligament alone graspedand brought into the canal. 3. The forceps is then withdrawn, bringing the ligament with it into the forceps-
Text Appearing After Image:
Fig. 602. The Puncturing tenaculum-forceps Introduced Tlirough tlie Wall, as des-cribed, and grasping the round ligament. In introducing the forceps through the wall^the point is carried along the course indicated by the dotted line a to b in the smallsketch in the corner. Notice that the puncture through the strong musculo-aponeuroticwall is made at the rectus muscle, while the puncture through the peritoneum is madeat b, which is near the internal inguinal ring. The distance from b to the internal ringis so short (about one inch) that no puckering suture is necessary. This point isfurther explained in Fig. 603. (Crossen—Journal of American Medical Association.) track and out at the abdominal wound (Fig. 603). The loop of ligament broughtout is now caught and held by an ordinary tenaculum-forceps, while the right liga-ment is brought out in a similar manner with the puncturing tenaculum-forceps.After the ligaments are brought into position the tension is adjusted. Itmay be necessar

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