Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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h. Operation.—Put the anaesthetised patient in the litho-tomy position. Shave the labia, wash out the vagina, washthe external parts with soap and water, and then spongewith sublimate. These things are best done while the patientis anaesthetised, for they are disagreeable to her. Make anincision through the skin along the whole length of thetumour, over its most prominent part, and parallel with thelabium. The skin is usually movable over the tumour,some cellular tissue intervening. Cut down to this cellulartissue. Then with the handle of the scalpel separate thetumour from its surroundings. Take plenty of time, and begentle. If you proceed roughly you will rupture the cyst,and then it will be more difficult to get it out. The handle SWELLINGS OF THE VULVA. 503 of the scalpel will not be enough to separate the tumourbehind. When you get to the back of the tumour, you mustuse the edge, and there will be some bleeding. Tie bleedingvessels as they are wounded. When you have got out the
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Fig. 152.—Abscesses in the ducts of Bartholins gland. (After Huguier.) tumour, wash the wound cavity out with 1-2000 sublimatesolution, put in a drainage-tube at its lower part, and thenbring together with stitches the raw surfaces out of whichthe tumour has been taken. Dust the wound with iodoformand see that it is kept clean. 4. Abscess.—Just as there may be a cyst either ofBartholins gland or of its duct, so an abscess may formeither in duct or gland. (A) In the duct. These abscessesare often bilateral. They never exceed the size of a very,small walnut. They are seated in the thickness of the lower 504 DISEASES OF WOMEN. part of the labium minus. They form quickly; in ten ortwelve hours the mucous membrane becomes tense, and thereis redness around the swelling. They open spontaneouslywithin at most two or three days on the inner surface of thelabium minus, never on the outer surface. (Fig. 152.)(a) The opening may be formed simply by the duct be-coming again patent. In this cas

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