Western Medical Review, Volumes 1-2

Cover Western Medical Review, Volumes 1-2
Western Medical Review, Volumes 1-2
Nebraska State Medical Association
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Having reached the deep fascia, it is divided and the rectus muscle ex- posed, the fibers of which are separated with the handle of the scalpel. The subperitoneal fat is now dissected back and the peritoneum picked up with two catch-forceps and divided between them with a scalpel, the small opening thus made being enlarged with a pair of scissors, taking care not to injure the bladder, in the lower angle of the wound.
You will notice as the incision in the peritoneum Digitized by V^rrC ^C 210 O
...VARIAN TUMORS.
[Wkst. Mbd. Review, is enlarged that the tumor bulges into the opening.
It appears dark in color, semi-solid, with here and there a fluctuating area. I will now introduce this large tx'ochar into the substance 6f the tumor and make an effort to evacuate the fluid, thereby reducing its size and rendering its delivery more easily accomplished. Very little fluid escapes, but by enlarging my abdominal incision upward I am able, by passing my hand posterior to the mass and breaking up a few adhesions, to deliver it in- tact.


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