On excision of the entire uterus for cancer, with notes of a successful operation : being an abstract of two lectures delivered at the Cancer Hospital, on March 5th and 12th, 1886 / by Chas. E. Jennings.

  • Jennings, Charles Egerton
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: On excision of the entire uterus for cancer, with notes of a successful operation : being an abstract of two lectures delivered at the Cancer Hospital, on March 5th and 12th, 1886 / by Chas. E. Jennings. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    pointed scissors. The hgemorrliage wliich occurred was so slight that it was disregarded. The uterine arteries, with the connective tissue surrounding them, were grasped with a pressure-forceps on each side of the cervix, and divided with scissors on the median sides of the forceps. Such profuse hjBmorrhage occurred from the uterine extremities of these vessels that the wire of an ecraseur was quickly adapted around the cervix and pushed upwards as far as possible above the mouths of the vessels to control it. This having been ac- complished, the proximal extremities of the uterine arteries were ligatured and the pressure- forceps were removed. The wire of the ecraseur was slowly tightened in order to effect a supra- vaginal amputation of the cervix, but very soon the wire snapped asunder, and, there being no renewal of the haemorrhage, the extirpation was proceeded with by introducing the left hand into Douglas's space, and with the tips of two fingers, which surmounted the right side of the uterus, catching a stout silk ligature passed upwards in front of the uterus on a blunt needle. A similar manoeuvre was repeated on the left side of the uterus, and the ligatures, which included the round and broad ligaments. Fallopian tubes, and the other structures passing from the uterus on either side and contained within the alae vesper- tilionis, were tied as tightly as possible. These ligatures were satisfactory in so far as they con- stricted the broad ligaments and their contents into more or less rounded cords. But they were unsatisfactory in two respects; first, they lay
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