Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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round ligament is brought up to the opening in the fascia where it is being anchoredby a figure-of-8 stitch. The insert shows how the stitch both fastens the ligament and closes thewound in the fascia. In order to perform the Simpson operation easily it is of very great momentthat the perforating clamp have a proper curve. The blades are somewhatlonger and more fully curved than those of the ordinary half-length clamp.Without this curve the passage of the clamp into the abdominal cavity is some-times extremely difficult. Mayos Modification of Gilliams Operation (Internal Alexander).—In thisoperation the perforating clamp does not pierce the fascia, but passes betweenthe fascia and the outer surface of the rectus. It then enters the internal ringand grasps the round ligament in exactly the same way as in the Simpson opera-tion. After the ligaments are drawn out through the abdominal wall theyare crossed over in front of the recti muscle and sewed together in the middle 584 GYNECOLOGY
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beneolfc >*4>.9.6«)^eS7 Fig. 284.—Simpsons Operation fob Retroversion.The round ligament has been drawn through the internal ring and attached beneath the fascia (adapted from Simpson).

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