A textbook of obstetrics . hes passedwith a curved needle, as in the first operation described, or bystitches inserted as in the Emmet or Hegar secondary operation. In the rare cases of central tears of the perineum, an attemptshould be made to repair the injury by vaginal and perinealsutures, but a secondary operation for a perineovaginal fistulamay be necessary. Inversion of the Uterus.—This is the rarest of all the acci-dents to a parturient woman. In the Vienna Maternity, from 1 1 have used this method in both primary and secondary operations for more than ten years, and have not had a sin
A textbook of obstetrics . hes passedwith a curved needle, as in the first operation described, or bystitches inserted as in the Emmet or Hegar secondary operation. In the rare cases of central tears of the perineum, an attemptshould be made to repair the injury by vaginal and perinealsutures, but a secondary operation for a perineovaginal fistulamay be necessary. Inversion of the Uterus.—This is the rarest of all the acci-dents to a parturient woman. In the Vienna Maternity, from 1 1 have used this method in both primary and secondary operations for more than ten years, and have not had a single failure with it. 5 • THE PATHOLOGY OE IA POT. i 849 to 1 S7S, in more than 250,000 labors, there was not a the Rotunda Hospital, in Dublin, there were labors,with only one inversion o\ the womb. Winckel has not seen acase in 20,000 labors. My own experience amounts to threecases—two complete and one partial. In general practice, espe-cially among the poorer classes, inversion of the womb is not so. Figs. 441, 442, 443, and 444.—Varieties of central tear of the perineum( Pr6cis <r (tbstetrique ). rare. The accident happens with equal frequency before and afterthe delivery of the placenta. The inversion may be partial orcomplete, the former when the fundus simply protrudes into theuterine cavity, the latter when the womb is turned completelyinside out. In a complete inversion the fundus is just within the LABOR COMPLICATED BY ACCIDENTS AND DISEASES vulva; the cavity of the womb Is formed by the peritoneal sur-face, the orifice looking upward into the peritoneal cavity. Fromthis cavity the tubes and the ovarian and round ligaments run upward ; the ovaries are usually above and to either side of theorifice. In the rarest instances inversion of the womb may beassociated with inversion of the vagina. In such a case the in-verted womb is also prolapsed. Causes.—Inversion of the uterus may occur the so-called paralysis of the placental
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
