Gynecological diagnosis and pathology . ontroversy as AFFECTIONS OF THE OVARY 151 to the direction of the long axis of the ovary under normal varies with the position of the uterus. The relations of the ovaryhave a bearing on the conditions found when the abdomen is opened and the broad ligament pulled up into view (fig. 8). The attachments, especially that through the ovario pelvic ami lite varian ligaments, are (if importance in relation to prolapse of th ovary. When these ligamentsbecome relaxed, as in retroversion, the ovary tends to fall downwardsand may be even below the
Gynecological diagnosis and pathology . ontroversy as AFFECTIONS OF THE OVARY 151 to the direction of the long axis of the ovary under normal varies with the position of the uterus. The relations of the ovaryhave a bearing on the conditions found when the abdomen is opened and the broad ligament pulled up into view (fig. 8). The attachments, especially that through the ovario pelvic ami lite varian ligaments, are (if importance in relation to prolapse of th ovary. When these ligamentsbecome relaxed, as in retroversion, the ovary tends to fall downwardsand may be even below the uterus in the pouch of 1 touglas. Microscopic Structure.—The ovary is composed in great part ofconnective tissue. At the hiluni this is continuous, through the sheathsof the vessels which enter at this point, with the connective tissuebetween the layers of the broad ligaments. Round the periphery ofthe organ the connective tissue is condensed to form a fibrous tuniccalled the tunica albuginea. On the surface of this is a single layer. Fig. 149.—Surface of Ovary. Note the connective-tissue stroma forming the tunica albuginea. The coveringis a single layer of cubical epithelium—the so-called germ epithelium. of low, cubical epithelium known as the germ-epithelium (fig. 149).This layer is the remains of the original epithelium from which thefollicles develop. Underneath the tunica albuginea in the cortical zoneof the ovary lie the ova, each enclosed in its Graafian follicle (fig. 150).The ripening of these will be described later. Physiology of the Ovary.—It used to be supposed that the onlyfunction of the ovaries was to produce ova. While this is certainlytheir most important function it is not their only one. Kemoval ofthe ovaries results in certain general symptoms produced partly by thewithdrawal from the system of some internal secretion for which theovary is responsible. The first thing noted, as a rule, after complete removal of the ovariesis cessation of menstruati
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
