ABNORMAI.ITIKS. 



83 



Abnormalities.— These are practically confined to three con- 

 ditions, VIZ. : deviation from the usual position ; secondly, an 

 exaggerated cystic condition whereby the ovary may have 

 become so large that the usual size of ecraseur chain cannot 

 be passed over iti; or, thirdly, some difference in shape or 

 cystic attachment, as illustrated by Fig. 7,7,:^ If the second 

 above-mentioned condition has existed for some time the 



Fig. 3.3. 

 Loose cyst, with long pedicle, hanging from the wall of the ovary (Appendix Case 30). 



weight of the ovary may have so lengthened the pedicle as to 

 make it a difficult matter to guide the organ itself through the 

 loop without including some portion of intestine. If the ovary 

 is too large the fluid must first be removed. This may be done 

 either by puncturing with a sharpened canula, to which a rubber 

 tube is attached, the contents of the cyst then escaping through 



1 See Appendix, Case 29. 



- For details, see Appendix, Case 30, 



