Pathology and treatment of diseases of women . resultsspontaneously but incom-pletely is, as a rule, not Muller has mentioned aspecial instrument of hisown for bringing down thelower angle of the anterior or posteriorutero-vaginal incision takesnowadays the place of punc-turing practised formerlyin such cases. The cavity ofthe uterus must be emptiedby all means very carefully,to avoid a retention and adecomposition of portions of the ovum or lochia. Ohlshausen52 hasextirpated the uterus through the vagina in a case of non-replaceableretroflexio uteri gravidi incarcerata co
Pathology and treatment of diseases of women . resultsspontaneously but incom-pletely is, as a rule, not Muller has mentioned aspecial instrument of hisown for bringing down thelower angle of the anterior or posteriorutero-vaginal incision takesnowadays the place of punc-turing practised formerlyin such cases. The cavity ofthe uterus must be emptiedby all means very carefully,to avoid a retention and adecomposition of portions of the ovum or lochia. Ohlshausen52 hasextirpated the uterus through the vagina in a case of non-replaceableretroflexio uteri gravidi incarcerata complicated with osteomalacia. (3) Puerperal Retroflexion The majority of retroflexions develop in connection with the puer- perium, or at all events show symptoms first after a puerperium follow-ing labor at full term or an abortion. The etiology of puerperal retroflexion cannot be explained exclu-sively by the fact that the site of attachment of the placenta (Fig. 54), atthe anterior wall of the uterus, regenerates incompletely. This may act. Fig. 53.—Retroflexio Uteri Gravidi with a Diverticulum Formation of the Anterior Wall (GVeit, Volkmannsche Sammlung, No. 170). PATHOLOGY OF THE VAGINA AND UTERUS 91 as a favorable factor, just as newgrowths situated externally to the ute-rus, extreme flabbiness of the puerperal uterus, excessive stretching andrelaxation of the pelvic floor, undue retention of urine, long-continuedfilling of the bowel with long-retained dorsal position cause the develop-ment of retroflexion. A. The retroversion and flexion may already take place early in thepuerperium. The symptoms of this peculiar incident are quite extraor-dinarily stormy ones, violent rectal tenesmus, uneasiness on the part ofthe bladder, abundant hem- . orrhages. The distress for \ the moment was so severein such cases observed byme, there existed suchsevere hemorrhage and diffi-culties (tenesmus of thebladder and bowel) and back-ache, that the physician wascalled immediately. The dia
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
