Treatise on gynæcology : medical and surgical . when we study the subjects ofovariotomy and hysterectomy. Silk is the most widely used agent for ligation in mass, as it offersthe greatest amount of resistance in the smallest bulk. Braided andnot twisted silk is always to be used. When, however, the ligaturesare to be buried in the abdomen (as in Schroeders hysterectomies,,and Martins intra-peritoneal enucleations) it will be found disadvan-tageous to use a material which is non-absorbable for a great length. METHODS OF SUTURE AND IIJEMOSTASIS. 55 of time, and yet so absorptive as to increase t

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Treatise on gynæcology : medical and surgical . when we study the subjects ofovariotomy and hysterectomy. Silk is the most widely used agent for ligation in mass, as it offersthe greatest amount of resistance in the smallest bulk. Braided andnot twisted silk is always to be used. When, however, the ligaturesare to be buried in the abdomen (as in Schroeders hysterectomies,,and Martins intra-peritoneal enucleations) it will be found disadvan-tageous to use a material which is non-absorbable for a great length. METHODS OF SUTURE AND IIJEMOSTASIS. 55 of time, and yet so absorptive as to increase t Stock Photo
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Treatise on gynæcology : medical and surgical . when we study the subjects ofovariotomy and hysterectomy. Silk is the most widely used agent for ligation in mass, as it offersthe greatest amount of resistance in the smallest bulk. Braided andnot twisted silk is always to be used. When, however, the ligaturesare to be buried in the abdomen (as in Schroeders hysterectomies,,and Martins intra-peritoneal enucleations) it will be found disadvan-tageous to use a material which is non-absorbable for a great length. METHODS OF SUTURE AND IIJEMOSTASIS. 55 of time, and yet so absorptive as to increase t
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Treatise on gynæcology : medical and surgical . when we study the subjects ofovariotomy and hysterectomy. Silk is the most widely used agent for ligation in mass, as it offersthe greatest amount of resistance in the smallest bulk. Braided andnot twisted silk is always to be used. When, however, the ligaturesare to be buried in the abdomen (as in Schroeders hysterectomies,,and Martins intra-peritoneal enucleations) it will be found disadvan-tageous to use a material which is non-absorbable for a great length. METHODS OF SUTURE AND IIJEMOSTASIS. 55 of time, and yet so absorptive as to increase the liabilities of secondaryinfection. Since catgnt prepared in oleum juniperi does not possessthese drawbacks, many gynecologists (Veit, Martin, etc.) do not hesi-tate to substitute its use for that of silk in buried ligatures, notwith-standing the fact that it is more difficult to tie it tightly than the silk. I will briefly mention the different methods of ligature in mass. If the part to be embraced is relatively thin, one loop of thread is. Fig. 35.—Continuous Ligature. Method of intro- Fig. 36.—1, 2, Continuous Ligature. Method of ducing threaded needle twice through the same introducing threads of the second loop. The firstopening (membranous pedicle). loop transfixes the pedicle and is then cut, which leaves a protruding end; this is threaded into ablunt needle in company with a new thread, andthe two are again carried through the pedicle. passed around it and securely fastened with a surgeons knot (Fig.34, 1, 2). If the pedicle is thick and yet requires only two loops, it must betransfixed in the centre by a needle threaded double (Fig. 34, 3); theloop is cut, which leaves two ends on each side of the pedicle; theseare crossed and tied on either side (Fig. 34, 4) or, better yet, to avoidhaving two knots (knots being less well tolerated by the tissues thanthe rest of the thread) we may use Bantocks knot (Fig. 34, 5) or Law-son Taits Staffordshire knot (Fig. 34, 6).