Clinical notes on uterine surgery : with special reference to the management of the sterile condition . of the womb before it was sufficientlydilated, and the os was, consequently, lacerated fromside to side. This healed slowly, but she remainedsterile afterwards. Fig. 72 represents the appearance of the os: theanterior half of the cervix was twice as thick as theposterior, while the posterior lip of-the os over-lappedthe anterior, closing it valvularly and perfectly. The cervix was indurated, and thecicatrices resulting from thelaceration and subsequenthealing could be distinctlyseen extendin
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . of the womb before it was sufficientlydilated, and the os was, consequently, lacerated fromside to side. This healed slowly, but she remainedsterile afterwards. Fig. 72 represents the appearance of the os: theanterior half of the cervix was twice as thick as theposterior, while the posterior lip of-the os over-lappedthe anterior, closing it valvularly and perfectly. The cervix was indurated, and thecicatrices resulting from thelaceration and subsequenthealing could be distinctlyseen extending laterally fromthe os to the insertion of thevagina. This lady was anxiousfor more offspring; and Iproposed to cut off the j>oste-rior over-lapping lip of the os,as indicated by the dotted line«, which would straighten thecanal and open the door tothe entrance of the spermatozoa, that is, if the healingprocess could be managed so as to prevent unduecontraction. However, she was frightened at the idea ofan operation, and would have nothing done. But it may be said, Your views of conception are. Fig. 72. OS TIN(LE—ABNORMAL. 103 entirely too mechanical. The act of copulation ispurely mechanical. It is only necessary to get thesemen into the proper place at the proper time. Itmakes no difference whether the copulative act be23erformed with great vigour and intense erethism, orwhether it be done feebly, quickly, and unsatisfactorily;provided the semen be deposited at the mouth of thewomb, everything else being as we would have it. Thusfar I accej)t the charge of mechanical views. To illustrate the principles of the operation abovesuggested, here is a case in point. A widower in theprime of life, in good health, the father of children,married a young wife, who at the end of five yearsremained sterile. The fault was not with the husband,as shown by his previous marriage. The wifes men-struation was regular, lasted two days, and not painfulto any great degree, exceptwhen she was
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
