256 



OPERATIVE TECHNIQUE. 



experiment has been tried of simply dividing the ovarian Hgament 

 with a knife, but it is dangerous, and may be followed by severe 

 bleeding or even by death. Hiirliman divides the ovarian ligament 

 with scissors up to the point through which the arter}^ passes. 



Open. 



Fig. 261. — Charlier's vaginal 

 speculum (early form). 



Closed. Open. 



Fig. 262. — Charlier's vaginal speculur 

 (later form). 



and ligatures the vessel with sterilised silk. The artery may be 

 identified by its pulsation. 



To prevent air and infective material entering the peritoneum it 

 has been recommended not to draw the ovarv into the vagina, but to pass 



