Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14745263946)

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

Text Appearing Before Image:

tant holds the repositor in place, fasten the elasticbands to the waist-belt, pulling them as tight as you possiblycan, so that the force exerted may be the utmost tensionof the elastic bands. The continuous pressure thus exertedusually replaces the uterus within forty-eight hours. Beforethe introduction of Avelings instrument the uterus wasoften amputated for chronic inversion. This should notagain be done, for Avelings repositor has not yet beenknown to fail. 330 DISEASES OF WOMEN. The only exception to the above statement is in thecase of inversion associated with disease of the fundus uteri.I have published * a case in which a fibroid inverted theuterus, protruded outside the vulva and became gangrenous.The gangrene spread to the uterus and killed the patient.In that case I regret that I did not amputate the uterus. How a submucous fibroid becomes a polypus.—Whenthe thickness of muscular tissue between a fibroid and theuterine muscular tissue is less than that between the tumour

Text Appearing After Image:

Fig. 111.—Avelings repositor for inversion of the uterus. and the serous covering of the uterus, it will be clear thatwhen the uterus contracts the tumour will be squeezedless strongly on its mucous than on its serous aspect, andhence the effect of uterine contractions will be to press thetumour towards the uterine cavity. The more it protrudesinto the cavity, the more will the layer of muscular tissuebetween it and the cavity be stretched, thinned and weakened,and the more easily will uterine contractions force the tumourfarther into the uterine cavity. When the tumour so pro-trudes that its equator lies free in the uterine cavity, theuterine contractions tend to press it against the os internum, * Obst. Trans., vol. xxx. p. 226. HAEMORRHAGE WITH ROUNDED TUMOUR. 331 so that it may dilate this orifice, and to expel it from theuterine cavity just as a baby is expelled. But the uteruscannot deliver itself of a tumour as quickly as of a baby or anabortion, because the tumour is held ba

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1899

Whitney Medical Library

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