The diseases of women : a handbook for students and practitioners / by J. Bland-Sutton and Arthur E. Giles.

  • Bland-Sutton John, Sir, 1855-1936.
Date:
1900
Catalogue details

Licence: In copyright

Credit: The diseases of women : a handbook for students and practitioners / by J. Bland-Sutton and Arthur E. Giles. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    — i f h6 diseases of women. patient is desirous to produce more children, even with the terrible risk before her of having them extracted by Caesarean section. On the other hand, wmmen, knowing the gi'eat risk they run, ask that steps may be taken to prevent what they consider a catastrophe. This is a very simple matter, and in order to sterilise the patient the surgeon may perform double oophor- ectomy, or adopt a simpler method and pass two silk ligatures around each Fallopian tube by transfixing the mesosalpinx, and after tying them firmly divide the tube between the ligatures. Any measure short of this is useless; conception has on several occasions taken place when the tubes have been secured with a single thread on the plan employed in the ligature of an artery in continuity. The advantage of sterilisation by ligature and division of the tulle over double oophorectomy is that young patients are spared the inconveniences w’hich almost always result from an artificial menopause. Porro’s Operation.—This clumsy method of removing | the pi’egnant uterus is now replaced liy that descrilied ? under the title of supravaginal hysterectomy (p. 437). 1]