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Vol. 60, 1909 - University of North Carolina at Chapel Hill

Vol. 60, 1909 - University of North Carolina at Chapel Hill

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iig, immedi<strong>at</strong>e lig<strong>at</strong>ure is preferable to<br />

:lamps, in order to avoid contusions <strong>of</strong> inaltr<strong>at</strong>ed<br />

tissue. The vagina should be dii'ided<br />

as far as possible below the cancer<br />

ind the uterus then removed after the en-<br />

:re pelvis and the intestines have been proected<br />

with sterile compresses. 4. To obain<br />

primary union it ;s important to shut<br />

iS the unclean portion <strong>of</strong> tlie oper<strong>at</strong>ive<br />

ield. This can only be accomplished if<br />

before lieginning the oper<strong>at</strong>ion care is tacen<br />

to ascertain whether sufEcient cancer<br />

ree peritoneum is present in front <strong>of</strong> and<br />

)ehind the uterus, as otherwise hysterectony<br />

should be avoided and replaced by ligition<br />

<strong>of</strong> the arteries. Drainage <strong>of</strong> the ablominal<br />

cavity is not indic<strong>at</strong>ed, as the varina<br />

serves sufficiently for th<strong>at</strong> purpose.<br />

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