The Operations of Surgery V.2

Cover The Operations of Surgery V.2
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Kelly considers that it is easier and Tjetter to remove uterus and tumours together, the method adopted being practically the same as that em- ployed by him for hysterectomy.
Incomplete Ovariotomy. — The surgeon may be compelled, very early in the case, to abandon his operation. This will be rendered necessary by the following conditions: — (i) When the tumour is malignant and has infiltrated tissues which cannot be safely removed, or when secon- dary nodules are found in the abdominal cavity.
...(2) When the peritongeum is found covered with papillary growths, the result of infection from a papillary cyst. Dr. H. A. Kelh^ (loc. supra cit., vol. ii.
p. 294) advises removal of the mother-tumour whenever it is possible, as he considers it not onh' relieves the pressure of the ascites, but checks the rapidit}^ of the growth. Moreover, cases have been recorded by Mr. K. Thornton and others where a disappearance of the secondary papillary growths and a freedom from recurrence have resulted from this line of treatment.


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