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There are three serious objections to the method almost universally employed of treating the pedicle and stump in the operation for the removal of the Fallopian tubes and ovaries. They are:
In consequence of many adhesions of the tubes and ovaries and the inelastic condition of the broad ligament, it is not infrequently difficult, indeed, impossible to form a pedicle without producing so much tension upon the extremities of the stump as to render them prone to retract and thus loosen the ligature, or even to pull away so far as to leave unprotected a raw surface, which is liable to bleed, or if the tissues do not retract, the tension may be so great as to induce cutting of the tissues by the ligature and thereby lead to oozing or active bleeding. Again, by the en masse ligature it is sometimes found impossible to include the Fallopian tube near
DUNNING LH. THE TREATMENT OF THE STUMP IN OOPHORO-SALPINGOTOMY—A NEW METHOD. JAMA. 1895;XXV(8):304–306. doi:10.1001/jama.1895.02430340004001a
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