File:The diseases of women - a handbook for students and practitioners (1897) (14778407095).jpg

Identifier: diseaomenh00blan (find matches)
Title: The diseases of women : a handbook for students and practitioners
Year: 1897 (1890s)
Authors: Bland-Sutton, John, Sir, 1855-1936 Giles, Arthur E. (Arthur Edward), 1864-
Subjects: Women Generative organs, Female Genital Diseases, Female
Publisher: London : Rebman Philadelphia : W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
my, but the in-cision will be much longer to enable the tumor to be with-drawn. Its actual length is of course regulated by the sizeof the tumor. It some cases it will extend from the pubesto a point near the ensiform cartilage. The enlarged uterusis then brought out and the intestines protected by a warmflat sponge. The surgeon then seeks the appendages, andtransfixes the broad ligament with a pedicle-needle armedwith a stout silk thread. The threads are tied tightly, andin such a way as to enable the tissues between the two liga-tures to be divided. When the same process has been car-ried out on the opposite side the uterus is then well raisedout of the pelvis by the assistant. The surgeon now makes a transverse cut through the 411 412 DISEASES OF WOMEN. peritoneum on the anterior surface of the tumor or the ute-rus, a short distance above the level of the bladder; thenby means of the handle of the scalpel he opens up the con-nective tissue between the bladder and the uterus, and is
Text Appearing After Image:
Fig. 113.—A uterine myoma extruded through an incision in the linea alba. The perito-neum is reflected to show the uterine arteries (A. E. G.). thus able to peel the peritoneum and bladder from theuterus. A similar transverse incision is made across the posteriorsurface of the tumor, and the peritoneum on that aspect iscarefully peeled off. When this manoeuvre is properly car-ried out the layers of the broad ligaments are directly con- OPERATIONS ON THE UTERUS. 413 tinuous with each other, the cervix of the uterus standingup freely between them. The operator now proceeds to ligature the uterine arteryon each side. He selects a stout aneurysm-needle set at aright angle, armed with a stout silk ligature, and passes itaround the vessel at the spot where it passes on to the cervix(Figs. 113 and 114), and ties it securely. Having ligatured thevessel on both sides, he then cuts the uterus at the level to

Note About Images