. The Principles and practice of gynecology : for students and practitioners. irection and eifect of the atypical case must be treated according to the special require-ments. Resection of the Cervix.—In a large proportion of cases oflaceration of the cervix the lesion is unrecognized, neglected, or PUERPERAL LACERATION OF THE CERVIX UTERL 575 unskilfully treated, so that extensive jJutliolo^Mcal changes changes may prevent or eontraintlicate the rulling-in of thediseased tissues; or, if the cervix has been closed improperly, mayrequire it to be reopened and closed again
. The Principles and practice of gynecology : for students and practitioners. irection and eifect of the atypical case must be treated according to the special require-ments. Resection of the Cervix.—In a large proportion of cases oflaceration of the cervix the lesion is unrecognized, neglected, or PUERPERAL LACERATION OF THE CERVIX UTERL 575 unskilfully treated, so that extensive jJutliolo^Mcal changes changes may prevent or eontraintlicate the rulling-in of thediseased tissues; or, if the cervix has been closed improperly, mayrequire it to be reopened and closed again correctly. The changesare : 1. Great tliickcuinir luid induration of the lacerated lips, Avhich, ifpossible to roll into the uterine canal at all, would cause tracticju uponthe sutures, and result in their cutting out; or, if union should occur,the induration and thickening might persist and give increased trouble. 2. Extensive cvstic degeneration of the Nabothian follicles. The evil results of rolling these cysts into-the cervical canal have been mentioned. Figure Shows a thickened diseased cervix requiring resection. The dotted lines indicate thedirections of the incisions. 3. Endocervicitis, with deep involvement of the cervical glands,and a consequent profuse discharge of a ropy, tenacious, gelatinoussecretion. The only satisfactory treatment of this condition is ex-cision of the diseased structures. Their destruction by the cauteryor sharp curette is apt to be followed by contraction and stenosis ofthe cervix and is therefore objectionable. 4. Stenosis in the lower portion of the cervical canal and osexternum. This condition may be due to too tight closure of thecervix or to cicatricial contraction from curettage, cauterization, orother causes. Under the conditions named above, the diseased tissue should beremoved by resection of the cervix—Schroeders operation} Thetechnique of the operation is as follows : The diseased tissue is removedby incisions as indicated
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
