. The pathology and treatment of diseases of the ovaries. vessels. Their walls are very thinand have no distinct muscular layer, a fact which at once ex-plains the disastrous results which have always followed at-tempts to remove the placenta in operations for extra-uterinegestation, the hemorrhage being quite uncontrollable. It alsoexplains the profuse hemorrhage which follows a compara-tively insignificant rupture of an organ not usually very vas-cular. It will be seen, therefore, that I maintain that every case of 78 DISEASES OF THE OVARIES. extra-uterine pregnancy is tubal in its origin, a
. The pathology and treatment of diseases of the ovaries. vessels. Their walls are very thinand have no distinct muscular layer, a fact which at once ex-plains the disastrous results which have always followed at-tempts to remove the placenta in operations for extra-uterinegestation, the hemorrhage being quite uncontrollable. It alsoexplains the profuse hemorrhage which follows a compara-tively insignificant rupture of an organ not usually very vas-cular. It will be seen, therefore, that I maintain that every case of 78 DISEASES OF THE OVARIES. extra-uterine pregnancy is tubal in its origin, and that it maybecome intra-peritoneal or extra-peritoneal, just as the tube hap-pens to burst. The intra-peritoneal termination is beyond allquestion the more common and the more fatal; while the extra-peritoneal development of the ovum is much rarer, less fatal,and, what is of more consequence, far more amenable to treat-ment. The diagnosis of extra-uterine gestation in its early stage is Fatal Case of Fallopian Pregnancy at Eighth Week (after Duguet).. Fig. 22.—A, Uterus laid open on the anterior Bnrface ; B, part of the decidua Ktill adherent to the ri^htuterine cornu: C. decidna, nearly entire, before death; i>, rit;ht tube and ovarj. miruial: E. E,marsrin-s of artificial opening in the left tube ; F. umbilical cord ; G, placenta; H, pavilion of the left tube ;/, vascular , ramifying over ihe tubal covering of cyst, from which the hemorrhage occutb on its rup-ture : t/, vagina.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectovarian, bookyear1883
