The contents of pus tubes may not be infectious, but it is desirable to avoid the usual soiling of peritoneal and wound surfaces with any kind of pus. It is, therefore, in the opinion of the writer, better to make a longer incision, to tie the ovarian and ovarouterine arteries and free the specimen at one or both ends or sides before attempting enucleation.
The method about to be described can be used in any case; the simple ones are always easy work, but it is in the difficult cases, where there are many adhesions and a large quantity of pus present, that the writer has found the greatest satisfaction in adopting the following plan:
Clamps are placed upon one of the tubes, closely hugging the uterus. The clamp may embrace about one inch of the broad ligament in its bite. The ovarian artery is either tied or clamped