Gynecological Operations Including Non Operative Treatment And Minor Gynecology

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Gynecological Operations Including Non Operative Treatment And Minor Gynecology
Henri Albert Charles Antoine Hartmann
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It ought to be done very thoroughly, particularly in the transverse direction, and carried out until the vesico-uterine cul-de-sac is reached (Fig. 203).
3. Opening of the Peritoneum. Open the peritoneal cul-de- sac with the finger. If the colpotomy is done purely for e vacua- 222 COLPOTOMIES tion, this method presents no inconvenience, but if done as pre- liminary to a second operation, the opening of the peritoneum should be carried out with more precautions. We should methodically open the s
...erous membrane which appears as a floating fold of grayish color. First take it up with forceps and then incise it with scissors or bistoury. The lips of the incision are immediately taken up with forceps.
Modifications of Technic According to Case. 1. Opening of a Suppurating Focus. When anterior colpotomy is done with the object of emptying an anteuterine collection, the opening of the peritoneum is followed by the evacuation of the contents of the pocket and it suffices in concluding the operation to place a drain in the site.


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