File:A text book of operative surgery and surgical anatomy (1878) (14761462541).jpg

Identifier: textbookofoperat00bern (find matches)
Title: A text book of operative surgery and surgical anatomy
Year: 1878 (1870s)
Authors: Bernard, Claude, 1813-1878 Huette, Ch. (Charles) Norton, Arthur T. (Arthur Trehern), 1841-1912
Subjects: Surgery, Operative Surgery, Operative Surgical instruments and apparatus Surgical Procedures, Operative Surgical Instruments Surgical Equipment
Publisher: London : Baillière, Tindall, and Cox
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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by an elastic bandage with a view todriving as much of the blood as possible out of the organ inorder to reduce the bulk of the body and fundus will facilitateall efforts at restoration. Ii^cisions into the cervical tissueshave been practised by some in order to favour dilatation ofthe neck. These should be carefully done, if employed, so asto avoid undue laceration, or penetration into the peritonealcavity or adjoining viscera, e.g., bladder or rectum. A muchmore serious measure has been adopted, viz., opening theabdominal ca\ity, dilatation of the cervix on its peritonealaspect, and subsequent reinversion of the organ. This is so grave an operation that its adoption must alwaysbe guarded by great circumspection. All attempts at reduction are more likely to be attended bysuccess if they are made a week or more after the cessation ofa catamenial period rather than near that epoch. Pressureupon the inverted organ should not be too long continued forfear that sloughing may ensue. PI. 84
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w AND SURGICAL ANATOMY. 409 PLATE LXXXIY. OPERATIONS ON THE CERVIX UTERI ANDOVARIES. Fig. 1.—Tapping the uterus.—a. uterus; h, bladder; c,rectum ; d, index finger of the surgeon introduced into thevagina, and serving as a conducter of a trocar, d; e, sacrum;/, abdominal wall depressed ; g, loops of intestines; h, anus :i, urethra; I, orifice of the uterus. Fig. 2.—Ap)ylicatio7i oftlie speculum.—a, a, triyalve specu-lum ; 6, cervix uteri. Fig. 2 his.—d, long forceps, with cotton wool, c, to cleansethe cervix. Fig. 3.—Caute7izatio7i of t?te cervix uteri.—a, ivory specu-lum ; a, its handle ; d, cervix uteri,; c, actual cautery; c\ itshandle; d, d\ labia majora. Fig. 4.—Puncture of an ovarian cyst.—a, cyst; h, canulaof trocar, the handle of which is seen at c ; d, uterus; e, e,Fallopian tubes; /, healthy ovary; g, bladder; h, coils ofintestine. EXPLORATION OF THE CERVIX UTERL Of the touch.—Besides palpation and mediate auscultationthrough the abdominal parietes, the su

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