The practice of surgery . secured high within the pelvis. The first desideratum is a. Fig. 170.—Primarj prolapse of the uterus. sound perineal floor, and the repair especially of the strong supportinglevator ani muscle. I shall describe this repair in Chapter XII. Buteven with the perineal floor repaired, a heavy uterus, armed with a longconic cervix and otheiASise unsupported, may still worm its way clownthrough the tightest perineum. The terms pelvic hernia and perinealhernia have been applied to this condition of prolapse. The conditionis properly one of hernia, so that after hysterectomy e


The practice of surgery . secured high within the pelvis. The first desideratum is a. Fig. 170.—Primarj prolapse of the uterus. sound perineal floor, and the repair especially of the strong supportinglevator ani muscle. I shall describe this repair in Chapter XII. Buteven with the perineal floor repaired, a heavy uterus, armed with a longconic cervix and otheiASise unsupported, may still worm its way clownthrough the tightest perineum. The terms pelvic hernia and perinealhernia have been applied to this condition of prolapse. The conditionis properly one of hernia, so that after hysterectomy even one may find aprotnision of the abdominal viscera through the weakened pelvic severe cases of procidentia, therefore, the surgeon is forced to someform of abdominal operation in addition to his repair of the perineum,and it may be well also to amputate a long cervix. If one be forced ]9 290 FEMALE ORGANS OF GENERATION to open the abdomen, he should carefully ascertain the state of all theabdominal viscera. He should remove tumors and should treat ap-propriately the


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910