. Operative gynecology. Fig. 462.—Double Hydhocketer due to Advanced Canceji of the Cejivix Uteri. The atrophic and inflammatory chanffes due to the cancer are plainly visible in the adhesions of thebladder to the uterus, and in the cicatricial tissue aud adhesions? between the ureters and about the , March 2,1896. % natural Fig. 463.—Autopsy on a case of ot tliu iu\i\hydroureter; double ureter on tlie left and single on tla i i^littlie uterus and bladder pulled to the Iigbt, to hhow the doublefloor. Autopsy, June 22, 1891). ii|nssi()n ot the uieteib, produci


. Operative gynecology. Fig. 462.—Double Hydhocketer due to Advanced Canceji of the Cejivix Uteri. The atrophic and inflammatory chanffes due to the cancer are plainly visible in the adhesions of thebladder to the uterus, and in the cicatricial tissue aud adhesions? between the ureters and about the , March 2,1896. % natural Fig. 463.—Autopsy on a case of ot tliu iu\i\hydroureter; double ureter on tlie left and single on tla i i^littlie uterus and bladder pulled to the Iigbt, to hhow the doublefloor. Autopsy, June 22, 1891). ii|nssi()n ot the uieteib, producing1 n) ihe peiitoneum is opened andjnipiebbcd and kniked at the pelvic TREATMENT. 319 By touch, however, the most impoitant information is secured ; when thedisease is advanced in the vaginal direction the vagina feels shortened and thefornices are obliterated. If the anterior lip alone is involved, the extension maybe evident down the anterior vaginal wall, and the hard cervical mass oftenseems fastened to the bladder. An extension posteriorly toward the rectum is recognized by the want ofmobility of the posterior cervical lip, which seems fastened to the sacrum towhich it is sometin:es drawn up, and examination through the rectum will showthe extent of the disease in this direction. An extension of the disease ujDward into the uterine


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal