The diseases of women : a handbook for students and practitioners . Fig. , bladder, and rectum in sagittal section ; from a case of hypertrophy ofthe supravaginal section (Museum R. C. Surgeons). traction from below while the fundus is partly anchored byadhesions ; but the congestion of a prolapsed uterus nodoubt plays a part in the production of the hypertrophy be primary or secondary, the DISEASES OF THE UTERUS. 143 resulting condition is the same. The cervical portion ofthe uterine canal is elongated. The vaginal portion of thecervix retains its proper length,
The diseases of women : a handbook for students and practitioners . Fig. , bladder, and rectum in sagittal section ; from a case of hypertrophy ofthe supravaginal section (Museum R. C. Surgeons). traction from below while the fundus is partly anchored byadhesions ; but the congestion of a prolapsed uterus nodoubt plays a part in the production of the hypertrophy be primary or secondary, the DISEASES OF THE UTERUS. 143 resulting condition is the same. The cervical portion ofthe uterine canal is elongated. The vaginal portion of thecervix retains its proper length, or may be slightly elon-gated ; but a false appearance of great lengthening is pro-duced by the dragging down of the vaginal fornices by the. c c Fig. 38.—Two diagrams illustrating (A) hypertrophy of the supravaginal portion, and(B) hypertrophy of the vaginal portion of the cervix: a, bladder; b, recto-vaginal pouch ;c, vagina (A. E. G.). cervix as it descends (Fig. 38, a). For the same reason thevagina is always shortened. The symptoms and physical signs are those of proper treatment is amputation of the cervix. Owing to the close attachment of the bladder to theanterior surface of the uterus, it remains in front of the cer-vix as it lengthens ; and a sound introduced into the bladdermay be felt to pass down apparently in the substance ofthe anterior part of the cervix. Similarly, the peritoneumis closely connected with the posterior surface, and therectovaginal (Douglass) fossa becomes deepened when the 144 DISEASES OF WOMEN. cervix lengthens, so that a process of peritoneum may befound under the vaginal reflection on the posterior surfaceof the cervix. These facts require to be borne in mind inamputation o
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