The practice of obstetrics, designed for the use of students and practitioners of medicine . ncreased in size, and the lymph channels which run from them throughthe muscles of the uterus reach the size of a goose-quill. Underneath the peri-toneum these lymph vessels form a plexus continuous with the general lymphaticsystem. On this arrangement of these absorbent vessels depends that striking * Tandler und Halban: Topographie d. weibl. Uterus, 1901. PERITONEUM. 109 characteristic of the uterus after labor, its readiness to take up and assimilateinfecting material, peritonitis frequently present
The practice of obstetrics, designed for the use of students and practitioners of medicine . ncreased in size, and the lymph channels which run from them throughthe muscles of the uterus reach the size of a goose-quill. Underneath the peri-toneum these lymph vessels form a plexus continuous with the general lymphaticsystem. On this arrangement of these absorbent vessels depends that striking * Tandler und Halban: Topographie d. weibl. Uterus, 1901. PERITONEUM. 109 characteristic of the uterus after labor, its readiness to take up and assimilateinfecting material, peritonitis frequently presenting the first symptom of thisprocess. 12. Peritoneum.—The connective tissue found in the uterus between itsperitoneal covering and the muscular walls becomes less dense and more cellular,so that while the peritoneum in the non-gravid state was closely bound to theorgan, allowing very little if any motion between the two, in the pregnantcondition, especially at term, it is freely movable on the muscular coat, thusdiminishing the risk of laceration during labor. The peritoneum at the end. c t. ut. •\ Fig. 156.—Relations of the Ureters, Uterine Arteries, and Cervix in the Non-pregnant State, u., u., Ureter; , hypogastric artery; , suspensory ligament;, external iliac artery; , uterine artery; , posterior bladder wall; r., retro-uterine fold; c, cervical canal; , uterine artery; , cellular tissue; ut., uterus.—(Tandler and Halban.) of pregnancy, before the sinking of the uterus, shows a shallowing of the anteriorfossa, and the pouch of Douglas is almost obliterated. The retro-ovarianshelves are now on a level with the pelvic brim, instead of on a level with a linedrawn from the middle of the symphysis to the third or fourth piece of the pouch of Douglas is raised. There is backward displacement of the broadligaments, from the growth of the uterus, causing the almost complete oblitera-tion of the posterior fossa, (a) Broad
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
