BMJ · 1932 · 69 citations · 1 references
MedicineObstetricsSurgeryAnesthesiaObstetric AnesthesiaParturitionUterine RuptureUterine SurgeryAdhesionsElectrocautery TreatmentRuptured Uterus
division, this being justified by the issues at stake. The whole operation was done through one cannula. A direct vision telescope was used, and alongside this were passed the diathermy electrode and the electro-cautery. Both were used. As general anaesthesia was being employed I did not infiltrate the insertion of the adhesion with novocain, with the object of saving time. This, I believe, was a mistake, as every time the diathermy cutting -wire was used the spasm phenomenon in the muscles of the chest wall occurred, which greatly increased the difficulty of the operation. When the resistance of the tissues became great, or where they were thin, the electro-cautery was used. Thus, just when the adhesion became most difficult to deal with by diathermy, it became most easy with the electro-cautery. All adhesions were divided, and the child returned to bed in good condition.
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