Treatise on gynaecology : medical and surgical . 38). This mesovariumaileron is often unfolded, and the tube, which is dragged upon by the 112 CLINICAL AND OPEEATIVE GYNECOLOGY. tumor, adheres to it and is somewhat lengthened in pedicle then contains two parallel cords—^the tube and the ovarianlio-ament. The narrowest part of the pedicle is at the infundibulo-pelvic ligament or the fold of peritoneum going from the pelvic wallto the ovary, through which the vessels go to that organ. The lengthand thickness of the pedicle vary greatly, and often depend upon thedistance which sep
Treatise on gynaecology : medical and surgical . 38). This mesovariumaileron is often unfolded, and the tube, which is dragged upon by the 112 CLINICAL AND OPEEATIVE GYNECOLOGY. tumor, adheres to it and is somewhat lengthened in pedicle then contains two parallel cords—^the tube and the ovarianlio-ament. The narrowest part of the pedicle is at the infundibulo-pelvic ligament or the fold of peritoneum going from the pelvic wallto the ovary, through which the vessels go to that organ. The lengthand thickness of the pedicle vary greatly, and often depend upon thedistance which separates the tumor from the edge of the uterus, andupon the thickness of the broad ligament whose muscular fibres areoften liyi:)ertroi)hied, connective tissue oedematous, and veins is in the vicinity of the pedicle that the cj^stic walls are the mostthickened and that we find the remains of the ovary. • Certain cysts originating within the broad ligament (dermoid andparovarian) may exceptionally possess pedicles, which are formed. Fig. 39.—Multiple Follicular Cysts (Cystic Disease of the Ovary) within the Broad Ligament. simply by distention and displacement of the peritoneum; they arelarge, laminated, and membranous. When there is no loedicle, the cyst is either wholly or in partwithin the broad ligament. This is the usual situation of parovariancysts, hyaline or paxoillary, of some dermoid cysts, and of some pro-liferous, glaudular, or i^ajDillary ovarian cysts, to account for whichcircumstance Freund believes in a congenital malformation consist-ing in impaction of the ovary. Small follicular cysts and cysts ofthe corpus luteum may exceptionally be within the broad ligament,where I have myself observed them (Fig. 39). The classification ofcysts within the broad ligament is necessarily an artificial distinc-tion; it is of interest from a surgical point of view, but is of no valueas a nosological classification. It is a mistake for surgeons to usethis term as a
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