Publisher's Synopsis
Excerpt from Abdominal and Pelvic Surgery: Extracts From Clinical Lectures and Society Transactions
I diagnosticated an intraligamentous myoma upon the left side, with a pedunculated myoma arising from the upper part of the tumor or the fundus of the uterus.
You have heard me say that in removing intraligamentous and retroperitoneal tumors of the uterus, or its adnexa, that the correct way to make the incision through the capsule is in a longitudinal direction, because a transverse incision may divide the ureter which may have gotten into this abnormal position; but in this instance a longitudinal incision was contra-indicated, and I made a transverse incision, though not exceeding two inches in length, examining carefully to determine if the ureter occupied the anterior position. Having divided the capsule, you saw me dissect with my fingers close to the tumor until I exposed a surface the Size of a dollar; then my assistant, with a vulsellum forceps, made trac tion upon the tumor toward the abdominal wound. I continued dissection around the tumor, catching the bleeding vessels, as encountered, with forceps. Finally, getting deeper through the tough tissues, I discovered that, instead of the Intraligamentous enlargement being one tumor, it was composed of many tumors. I then enucleated one after another until I removed seven before reaching the base of the broad ligament; after which I ligated and removed the thickened tissues of the capsule.
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