Volume 1

Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones. Source: Wellcome Collection.

    707/712 page 603
    Operation for Recurrent Cancer.—Cushing has reported cases of operation for recurrent cancer after hysterectomy. In one the bladder had to be dissected free from the vaginal tissues. After a free dissection, the glands and the adjacent tissues were removed, and the ureter dissected out, free from the broad ligament, the uterine artery tied at its origin, and the whole of the right side of the pelvis cleared out. Such operations, however, are rarely satisfactory in their results. Extirpation of the Vagina. This operation may be performed either by a perineal section, and removal through the perineum (Olshausen), or a vagino-perineal incision (Diihrssen). The entire vagina with the uterus and ovaries may be thus removed (Martin). By a circular incision at the introitus the vagina is detached. He covers the funnel-shaped wound by drawing down the peritoneum, and attaching it to the denuded surface at the hymeneal ring. Hysterectomy by the Sacral Method.—E. Zuckerkandl and Wblfiler proposed extirpation of the coccyx and the lower portion tiG. 424. Suturing the Lateral Structures in the Pelvic Floor after THE opening of Douglas’ Pouch. (A. Martin.) of the sacrum. A long and curved incision is made towards the left or right side for about ten centimetres in lenfifth, stretchin^^ for
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