Buffalo medical journal . Circulation and respira-tion are normal with the exception of slight arterial sclerosis. Onstanding the uterus, the vagina, the broad and round ligaments,the rectum, the bladder, and a considerable portion of the smallintestine form a large oval-shaped protrusion, extending almostto the knees. On the cervix there is extensive ulceration. Themucous membrane is greatly thickened and hardened and is theseat of chronic inflammation. The first operation consisted of an amputation of the cervix,and a reduction of the hernia with extensive anterior and pos-terior plastic ope
Buffalo medical journal . Circulation and respira-tion are normal with the exception of slight arterial sclerosis. Onstanding the uterus, the vagina, the broad and round ligaments,the rectum, the bladder, and a considerable portion of the smallintestine form a large oval-shaped protrusion, extending almostto the knees. On the cervix there is extensive ulceration. Themucous membrane is greatly thickened and hardened and is theseat of chronic inflammation. The first operation consisted of an amputation of the cervix,and a reduction of the hernia with extensive anterior and pos-terior plastic operations upon the vaginal wall, together with asextensive a repair of the perineum as was possible. The diffi-culty in doing this portion of the operation was due to the almostcomplete disappearance of the rectovaginal septum, with markedstretching of all the parts in the extensive descent of the hernia. 1. Read at the meeting: of the Clinical and Pathologfical Section of the Academy ofMedicine of Cleveland, March Fig. 2.—Showing relations of pelvic structures in pelvic hernia.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
