. Clinical gyncology, medical and surgical. DISPLACEMENTS OF THE UTERUS. derest spot of the uterus is the point at which the cervix joins the body,and it is at this point that flexions of the organ most frequently may further be remarked that the body of the uterus is most prone toenlargement in consequence of inflammatory deposits or neoplasms (fibroids),and, moreover, that the most common diseases of the cervix are catarrhoccurring at any time and laceration produced during parturition. Supports of the Uterus.—The uterus is supported in its normalposition by the following agencies :


. Clinical gyncology, medical and surgical. DISPLACEMENTS OF THE UTERUS. derest spot of the uterus is the point at which the cervix joins the body,and it is at this point that flexions of the organ most frequently may further be remarked that the body of the uterus is most prone toenlargement in consequence of inflammatory deposits or neoplasms (fibroids),and, moreover, that the most common diseases of the cervix are catarrhoccurring at any time and laceration produced during parturition. Supports of the Uterus.—The uterus is supported in its normalposition by the following agencies : 1, ligaments; 2, supports. 1. Ligaments.—There are eight ligaments which serve to keep the uterusin its normal position, four on each side. A. The Broad Ligaments.—These are folds of peritoneum which extendlaterally on either side from the peritoneal membrane which firmly investsthe body of the uterus to each pelvic wall. These folds of peritoneum areclosely adherent and ordinarily do not admit of physiological separation ; Fig. Uterus anci appendages, rear view. (Beigel.) but between them nestle portions of the ovaries with their blood-vessels,nerves, and lymphatics, and between them are very frequently developedeffusions of blood, fibroid tumors of the uterus, and ovarian tumors,as well as collections of plastic lymph and subsequent pus, which sepa-rate very widely the otherwise closely connected anterior and posteriorlayers of the broad ligaments. Normally the broad ligaments also containa certain number of smooth muscular fibres continued into them from theuterine tissue. The object of these muscular fibres is undoubtedly to aidthe normal resilience of the peritoneal folds in keeping the uterus in itsproper suspension. Posteriorly the broad ligaments are reflected upwardon the rectum and posterior aspect of the pelvic cavity, anteriorly on thebladder and anterior aspect of the pelvic cavity. I think that to theseligaments—that is, the two broad ligaments—is t


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Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea