The Abdomen 



281 



through the wound to the outside. This is removed in the course 

 of five or six days. 



Whenever the continuity of the uterus is destroyed, either in 

 one or both cornua, all portions of the organ lying above, as well as 

 the ovaries, should invariably be removed, otherwise there is every 

 probability of a retention-cyst developing from accumulation of 

 glandular secretions, and this may possibly be converted into a 

 pyometra. 



The practice of severing the continuity of the organ as a sub- 

 stitute operation for oophorectomy in order to prevent gestation is 

 bad surgery and should never be undertaken. In like manner when 

 the operation becomes necessary in cases of inguinal hernia, and 

 only the middle portion of a cornu forms the protrusion, the upper 

 extremity should be pulled through the ring until the ovary is ex- 

 posed and the whole of the parts then be removed. 



VENTROFIXATION OP THE CORNUA. 



This operation consists in producing the formation of adhesions 

 to hold the uterus in position against the abdominal wall. This 

 object is attained by suturing the organ to the inner aspect of the 

 wall. The operation is performed as a remedial measure against 

 eversion of the uterine cornua. The technic is as follows : The ab- 

 dominal cavity being opened in the median line, the cornua are 



No. 65. Vontrofiiation o( Abdominal VlBcera. 



