272 Diseases of the Genital Organs 



Grasp the ovary between the fingers and, if not too large, 

 draw it through the incision into the vagina. Introduce the 

 emasculator with the other hand, and, when the ovary is 

 reached, open the instrument far enough to admit the ova- 

 rian attachments between the jaws, push the ligament be- 

 tween the jaws, close the forceps and sever the ovary. Or 

 introduce the ecraseur, draw the ovary through the loop of 

 the chain and, holding it securely until the instrument is 

 tightened, crush it off. If the ovary is the seat- of an exten- 

 sive tumor, the hemostatic power of the ecraseur or emascu- 

 lator must not be relied upon. The same is true in a lesser 

 degree of nymphomaniac ovaries. In such cases it is far 

 more prudent to ligate the artery with large chromatized 

 catgut, passed through the ovarian ligament by means of a 

 needle. For this purpose the ovary is drawn into the vagina 

 and its ligament engaged securely in a long pair of forceps. 

 The ligature is passed through the pedicle of the tumor and 

 tied tightly outside the forceps. The attachments are then 

 divided between the ovary and the ligature, care being taken 

 to leave a sufficiently long stump to give ample safety 

 against slipping. 



It is essential that plenty of the broad ligament and ovi- 

 duct be excised with the ovary to insure the entire removal 

 of the gland, because the accidental leaving of the smallest 

 particle of ovarian tissue may cause a development of this 

 into abnormally large cystic ovisacs, tending to increase in- 

 stead of decrease nymphomania. Generally no after care is 

 necessary. 



The dangers are similar to those in the mare. The iliac 

 arteries may be wounded in the same manner. The accident 

 is preventable by being careful to push the vaginal roof 

 well downward away from the rectum and sacrum. 



Another danger appears in the presence of the .rumen, 

 the supero-posterior portion of which, when filled with 

 food, projects into the pelvic cavity so that, if the cut is 

 directed forward, a stab wound readily penetrates its walls 

 with fatal results. Make the cut upward and backward. 



