Clinical notes on uterine surgery : with special reference to the management of the sterile condition . uterus is about two and a half inchesdeep, while another will say it is less. Both are right;for the uterus, an erectile organ, full of blood, is largerand longer in the living body than in the dead. Theknowledge of one is gained in the clinic; of the other inthe dissecting-room. I do not know of any anatomical plates that repre-sent correctly the position and relations of the pelvicorgans. The artist has not succeeded perfectly in thiscut (fig. 89), but it is near enough to give us a goodge
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . uterus is about two and a half inchesdeep, while another will say it is less. Both are right;for the uterus, an erectile organ, full of blood, is largerand longer in the living body than in the dead. Theknowledge of one is gained in the clinic; of the other inthe dissecting-room. I do not know of any anatomical plates that repre-sent correctly the position and relations of the pelvicorgans. The artist has not succeeded perfectly in thiscut (fig. 89), but it is near enough to give us a goodgeneral idea of the subject. [I was at great pains to get a correct outline of avertical section of the pelvic bones as here shown. Forthis I am under special obligations to M. Pean, of Paris,Prosecteur des Hopitaux, who politely afforded me everyfacility at Clamart, both in its museums and dead-house; 228 UTERINE SURGERY. also to my talented young friend Edward Souchon, ofNew Orleans, Louisiana, who made for me repeated dis-sections, which were photographed, and from which made the drawing.]. Fig. 89. The uterus occupies, normally, very nearly a centralposition in the pelvis, being, perhaps, a little nearer tothe sacrum than to the pubes. Its long axis shouldstand at about right angles to that of the vagina ; thefundus pointing in the direction of the umbilicus, andthe os tincse towards the end of the coccyx. The fun-dus may be tilted a little one way or the other withoutthe position being necessarily abnormal. The conditionand contents of the bladder and rectum may temporarilyinfluence it to some extent. If it turn forwards or back-wards for 25° or 30°, it does not amount to a malposi-tion ; but if to 40° in either direction without soon recti-fying itself, it is abnormal, and usually goes from bad toworse, till the malposition becomes persistent. A glanceat the cut will show us that if the uterus fall backwardsin a line drawn from the os to the promontory of the UTE
Size: 1838px × 1359px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
